Home Charge Installation Form

Customer Details
Customer Name*
First Last
Customer Email*
Installation Details
Date*
Date Format: DD dash MM dash YYYY

dd-mm-yyyy
Installation Company*
Electrical Certification Scheme*
Electrical Installation Certificate Number*
Equipment Installed
- EO Mini Pro
- ROLEC WallPod:EV HomeSmart
Charger Serial Number*
Equipment Power Rating*
Image Upload*
Drop files here or

Max. file size: 5 MB.
Images required: 1. Close up of Serial number. 2. Image of off street parking showing installed charger. 3. Image of Distribution board connection and RCCB/RCBO.
Test Sheet and Invoice Upload*
Drop files here or

Max. file size: 5 MB.