EV Maintenance Request
Please complete this form to submit an EV Maintenance Request.
If would like additional information on Electric Vehicle Charging, please click
here
. If you would like to view a campus map, please click
here
.
Your Contact Information
First Name
Last Name
Your Email Address:
University Affiliation
Please select...
Student
Visitor
Faculty/Staff
Your University ID
Your Vehicle Information
Year
Make
Model
Vehicle Amp
EV Charging Station Information
Parking Area
Please select...
Sunset Village
Medical Plaza
Lot A
Structure 1
Structure 2
Structure 3
Structure 4
Structure 5
Structure 7
Structure 8
Structure 9
Lot 11
Structure 32
Structure 36
Parking Area Level
Please select...
P-1
P-3
Level 1
Solar Array
Level 2
Level 3
Level 4
Level 5
Level 2
Level 3
Level 4
Level 5
Level 1
Level 2
Level 4
Entrance
Level 1
Level 2
Level 6
P-1
Level 1
Level 3
Level 4
Level 3
Level 4
Level 5
Solar Array
Level 1
Level 3
Outside Geffen Academy
Solar Array
EV Station Number or Name
Located on the station's brown label
Provide a Detailed Description of the Charging Station Issue Below
If possible, upload a picture of the charging station and your vehicle charger.