New Charging Location Information Submission Checklist
      ----------------------------------------------------
       Please copy the checklist below into a new email
               and fill in whatever you can
       then send it to Updates at EVChargerNews dot com. 

Your name: 

Your e-mail address:

Date: 

Site name:

Address/City/Zip:

Numbers of chargers-- SPI:   LPI:   Avcon:   Tesla:     J1772(tm)2010:   

Voltage, if known:
(208V or 240V)

Charging station ampacity, if known:   16A  32A  40A  48A 56A 70A

Other power outlets apparently for charging:
(Number and description -- 5-15, 5-20, 14-50, etc.)

Did you charge here?     
If so, vehicle type:

Do EV drivers have to pay for Parking?
(If so, what are the rates?)

Is the location available 24x7?
(If not, what are the available hours?)

Latitude/Longitude:
Source:
(GPS (brand/model), Cell phone, Google Maps, ...)

Elevation:
(Altitude, in feet)

Driving directions (to the facility):

Charger Location (within the facility):

Site contact & phone#:

Nearby shops, entertainment, restaurants:

Rate this site (1=boring  to  5=plenty to do)
(Also consider closeness to traveled routes,
ease of locating, availability, parking fees if any):

Are there any problems or malfunctions to report?
(If so, please describe.)

Is there a potential rollaway problem* here?
(a downslope backing away from the chargers) (This is a problem for RAV4 EVs.)

Is signage adequate?
   "Electric Vehicles Only" sign:
   "Rollaway Hazard" sign if applicable*:
   Indicative floor striping:

Is blocking by non-electric vehicles (ICEing) 
likely to be a problem here?

Serial numbers of the chargers:
(starting with the left-most charger)

Any other comments:

Please email your completed form to

         Updates at EVChargerNews dot com

Please attach any photos to your email.
(We prefer medium-sized (1024 x 768 pixel) .jpg files,
but give us what you have and we'll make it work.)

Thank you!


Form by Gil Dawson.  Revised 12/11/06 by Tom Dowling. Revised 6/17/09 by Gil Dawson.
Revised 7/10/2010, 8/19/2010 by Tom Dowling