City of Port Phillip

Private electric vehicle (EV) chargers - expression of interest

Thank you for your interest in our private EV charger program.

For further informaton on EV chargers within the City of Port Phillip, please visit our webpage.

Please allow 5 to 10 minutes to complete the form.

You can save and complete later at anytime using the link at the bottom of each page.

Your details

First name *

Last name *

Email *

Phone *

Property address *

Street address *Street address line 2

City *

State *

Postcode *

Country

Application details

Are you the property owner? *

YesNo

If applicable, do you have consent from your Rental Provider? *

YesNot applicable

If applicable, do you have consent from your Owners Corporation? *

YesNot applicable

Is your property within a heritage overlay? *

YesNo

Which type of charger are you interested in installing? *

In-kerb chargerRecessed gully chargerI'd like further information on both

Have your checked your eligibility against the criteria available on the City of Port Phillip website *

Are you willing to be contacted to share your experience with the Port Phillip community?

Data privacy and collection

The personal information requested on this form is being collected by the City of Port Phillip (CoPP) and will be handled in accordance with the Privacy and Data Protection Act 2014. This information will be used solely by the council for that primary purpose or directly related purposes. It will be treated in compliance with the CoPP Information Privacy Policy and the Information Privacy Act.

Yes, I give permission for the City of Port Phillip to store and process my data. *

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