Claim Submission

New battery electric vehicles (BEVs) or plug-in hybrid electric vehicles (PHEVs) only. Conventional hybrids or fuel-cell electric vehicles (FCEVs) do not qualify. 


If you have any questions or issues with this form, please email us at dealers@pluginamerica.org or call 323-533-0324





Full name of the salesperson(s) responsible for the sale

Email of the salesperson(s) responsible for the sale






Enter the address the car is registered at







For mobile, take a photo or upload a photo from your library

For mobile, take a photo or upload a photo from your library

If there is anything unique about this claim, please add a note for the program administrator