Level II Electric Vehicle Charger Rebate Application

Complete all sections and accept terms and conditions to ensure proper and prompt payment of rebate. If you need assistance completing the online rebate form, call Linn County REC at 319-377-1587 and ask to speak to an Energy Advisor.

To prevent any delays in the processing of the rebate, make sure to submit both the charger invoice AND installation invoice and/or receipts and the complete vehicle model (see example below).

Offer is limited to one (1) Level II EV Charger per service address. Requires 240/208 volt input supply. Bill credit will be applied for all rebates less than $500.00. Member must own an EV to be eligible for a rebate.

Member Information (Service/Equipment Location)

Member Account Type

Enter your Account #

Remove dashes and spaces (12-34-567 89) to 123456789

Member First Name

Member Last Name

Street (Service Location)

City (Service Location)

State (Service Location)

Zip Code (Service Location)

Email

Phone

Who is Filling Out/Submitting the Rebate

Rebate Check Mailing Address Same as Equipment Location

Rebate Check Mailing Address

First Name (Rebate Check)

Last Name (Rebate Check)

Street (Rebate Check)

City (Rebate Check)

State (Rebate Check)

Zip Code (Rebate Check)

Salesforce Contractor Account

Salesforce Contact

Application ID

Service Location

Billing Account Lookup

Salesforce Account

General Information

Construction Year

Primary Heating Fuel Source

Alternative Energy Production on Site

Level II Charger Information

Installation Type

Installation Date

EV Charger Brand

EV Charger Model

Charger Volts

Charger Amps

Charging Rate (kW)

Ability to schedule charging through EV or charger

Will you charge vehicle outside of Linn County REC's peak demand hours of 4 PM to 10 PM

Linn County REC's Super Saver rate block is from 10pm-5am; 7 days a week and is $0.050 per kWh.

Electric Vehicle Information

When filling out the EV model information, make sure to fill out what the sub model is. For example, the 2022 Ford Mustang Mach-E has 8 sub models, all with different kWh per mile. See example under EV Model.

Vehicle Type

Manufacture Year

EV Manufacturer

EV Model

Ex - Mustang Mach-E GT/GT Perf AWD or Model S Plaid (20 inch wheels)

EV Purchase Date

Estimated Miles per Year

Percentage EV charged at service address

Equipment Installation

Installation by:

Licensed ContractorSelf-Installed

Contractor (Company Name)

Contact Person (Company)

Installation labor can only be applied to total cost if Level II Charger is installed by a licensed contractor.

Rebate Amount and Installation Cost

Total Cost

Submitted Rebate Amount

Max rebate amount is $300.
Rebate cannot exceed 50% of total installed costs.
(Charger cost and installed combined cost)

Attach Invoice Here

When attaching the invoice, make sure to include the Level II EV Charger invoice as well as the invoice/receipt for the installation of the 240/208 volt supply. If self-installed, material used for the install will be accepted. If installed by a contractor, total bill will be accepted. Rebate awarded is based off total cost (charger and installation). Please reach out to Member Services with any questions.

***Receipt/invoice for Level II EV Charger is required to process the rebate.

Use for extra files if needed

Member Authorization

General Terms and Conditions
(1) The account holder is solely responsible for the accuracy of the application information.
(2) All rules of Linn County REC’s energy efficiency program have been followed.
(3) Linn County REC will not be liable for any work performed or guarantee energy/cost savings.
(4) Account is in good standing.
(5) Any equipment installed must be new.
(6) The Linn County REC reserves the right to extend, modify (including incentive levels) or terminate this Program at any time without prior or further notice. The Member is responsible for checking with the Utility to determine whether the program has been changed or is still in effect.
(7) Linn County REC reserves the right to inspect equipment and verify sales transactions. All self-installed equipment is subject to an inspection.
(8) Rebates shall be pro-rated based on the percent of power supplied by Linn County REC if the member has distributed generation, LCREC may hold rebate up to 12-months for verification.
(9) Applications and required documents must be submitted within three (3) months (90 days) of the install/purchase date (based on member's invoice or receipt date) and are subject to 2025 rebate eligibility if received after December 31, 2024.

By checking the field below, you are agreeing to all terms of this rebate application.

Accept Terms and Conditions