Flowers Electric — EV Charger Install Work Sheet

Thanks for choosing Flowers Electric! Please fill out this work sheet so we can prepare an accurate quote for your EV charger installation. Photo uploads at the end help us calculate the load and finalize the design without a site visit when possible.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code

Phone Number *

Email Address *

Have you received your charger?

Brand of Charger? *

Type of Charger *

NEMA 14-50 (PLUG IN) LEVEL 2 Charger (HARDWIRED)

Make/Model of Vehicle

Type of Home

Location of your Main Electrical Panel

Desired location of Charger *

Garage Size (cars)

Distance of charger from Electrical Panel (in feet) *

Will your wall charger be on the same wall as your Electrical Panel?

What is the size of your main Breaker? *It will be listed on the main breaker

How many electrical panels does your home have?

Type of Heat

Number of Furnaces / Heat Pumps?

Potential route to run the wire?

Foundation of Home

Crawlspace Slab Basement

If you have a basement, is it unfinished?

Name of your power provider?

Close picture of Main breaker Electrical Panel * Please make sure all breakers are in the picture.

Picture of desired location of the charger *

Picture of main panel from 10 to 15 ft. away *

Picture of Outdoor Meter/Service Please take a picture if you have a combination panel.

Picture of charger you are planning on installing

Additional Pictures — Up to 3 Files

Yes, you can text me about my service request. By checking this box I agree to receive text messages from Flowers Electric LLC about my service request, scheduling, estimates, and account updates at the number I provided above. Message frequency varies. Message & data rates may apply. Reply STOP to opt out at any time, or HELP for help. Consent is not a condition of purchase. See our Privacy Policy and SMS Terms.

Thanks — we got it!