New Electric Vehicle Rebate Apply for the new electric vehicle purchase rebate. Submit your completed form along with all required documentation to qualify. Home Please make sure to complete the application and attach a dated purchase invoice New Electric Vehicle Purchase Rebate Form Application must be submitted within 60 days of installation. Incomplete applications will not be accepted. For questions, contact Caitlin Moser, member services coordinator, at 620-874-4505 or rebates@weci.net.. MEMBER INFORMATION Contact Info Name Email Phone Physical Address Mailing Address City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Wheatland Account Number Primary Charging Location - None -Personal ResidenceLandlord AccountRentalOther EQUIPMENT INFORMATION Vehicle Type - Select -Battery Electric Vehicle (BEV)Plug-In Hybrid Electric Vehicle (PHEV) Date of Purchase Vehicle Make Vehicle Model Charger Type VIN Invoice Please attach a copy of the dated receipt or contractor invoice that details all installed equipment information, including brand, model #, and serial #.One file only.20 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg. APPLICANT ACKNOWLEDGEMENT Member Signature Please use your mouse (or finger for touch screens) to sign. By signing your name in this box, the Member affirms that the information reflected here is accurate to the best of his or her knowledge and that falsification or reporting of incorrect information on this form is grounds for denial of the rebate.
