Ford/RocketEV Virtual Assessment

Virtual Assessment
Electrify Your Home with RocketEV and Ford Power Promise!

We have received your information and now require some more details in order to complete our assessment. Here is a reminder of our process:

1. Intake Form: This step is complete

2. Virtual Quote Form: (You are currently on this step) You’ll complete this form to provide more details. Please be as detailed as possible.

3. Electrician Review: A licensed electrician will review your information and any photos provided to assess your needs.

4. Ford Power Promise Confirmation: We’ll let you know if your installation is fully covered by the Ford Power Promise Standard Installation or if there’s a remaining balance. We’ll need your approval for any additional charges.

5. Schedule Your Installation: Once everything’s confirmed, a RocketEV agent will contact you to find a convenient time to install your charger.

Please note: A brief in-person consultation might be necessary for complex installations. Also, if your electrical panel is close to its capacity, we may ask you to get a “Peak Hourly Consumption” report from your utility company (this usually takes a few days).
Name*

First NameLast Name
Email*
PLEASE NOTE: Must use the same email entered on the intake form
Province
Please select the region that best applies to you*
x Select the region that best applies to you (British Columbia)

VancouverVictoria/NanaimoKelownaCastlegarTrail
x Select the region that best applies to you (Saskatchewan)

SaskatoonManitoba
x Select the region that best applies to you (Quebec)

GatineauLavalMontrealQuebec CitySherbrookeTrois-Rivières
x Select the region that best applies to you (New Brunswick)

FrederictonMoncton
x Select the region that best applies to you (Nova Scotia)

HalifaxSydneyAntigonish
x Select the region that best applies to you (Ontario)

Barrie-Huntsville/Parry SoundGreater Toronto/Hamilton AreaKingstonKitchener/WaterlooLondonNiagaraOttawaSault St. MarieThunder BayWindsor
Which best describes your home?*

DetachedSemi-DetachedTownhouseCondominiumOther
Which best describes your garage?*

AttachedDetachedNo Garage
Where is your main panel located?*

BasementGarageOther
Is your basement finished?*

YesNo
Where would you like your charger mounted?*

GarageExternal WallOther
What is the estimated distance between the panel and the desired charger location?*

Less than 15ft15-30ft31-50ftOver 50ft
Do you require a level 2 EV charger, to be supplied by RocketEV?

YesNo, I will supply my own
Please list the brand and model of the charger you will supply
ex. Chargepoint Home Flex NEMA 14-50
Please upload a photo of your panel, the charger location, and if possible, the wire path*

Please ensure there is a clear photo of your panel with ALL breakers visible
Cancelof
Please provide any additional information (if applicable)
Please remember to attach all requested photos before submitting.
Should be Empty:

Virtual Assessment

Please remember to attach all requested photos before submitting.