DriveEV Rebate Application

DriveEV Rebate Application
Before beginning your rebate application:
- review the DriveEV Rebate Program guidelines;
- have electronic copies of the following documents ready to upload:
  - vehicle purchase or lease agreement;
  - vehicle registration;
  - proof of income verification, if you are requesting a rebate based on household income that is ≤80% or ≤120% of Boston Metropolitan Area median income.
For help, email lscott@concordma.gov or call 978-318-3102.
Name*

First NameLast Name
Electric Account Number
Your account number is in the upper right hand corner of the first page of your electric bill. Trouble finding it? Call CMLP at 978-318-3101 from 8:00AM - 4:30PM, Monday - Friday. Or, leave this field blank.
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Street Address*
Is the Vehicle New or Used?*
Is the Vehicle Purchased or Leased?*
Vehicle Identification Number*
Type of Vehicle*
Vehicle Make*
Vehicle Model*
Vehicle Year*
Income-Based Rebate Level*
Rebate Amount Requested *
Not sure of the amount that your EV is eligible for? Click on the DriveEV Rebate Program guidelines link near the top of this form to learn more.
If the rebate amount requested is over $750, would you prefer a bill credit or a check?
Any rebate of $750 or less is issued as a bill credit. If a customer requesting a check has been in arrears frequently in the past two years, CMLP may apply all or part of the rebate as a bill credit rather than as a check.
Additional Comments (if any)
Required Documents:
Vehicle Purchase or Lease Agreement*

Cancelof
Vehicle Registration*

Cancelof
Proof of Income Verification

Cancelof
Acceptance of Terms and Conditions
Should be Empty: