Inspection form

Installation address

Address where the charging station is to be installed.

Company name

Chamber of Commerce number

Name

First Last

Branch address

Street Address City ZIP / Postal Code

Billing address

Street Address City ZIP / Postal Code

Email address credit billing

IBAN account number

Ascription

Phone number

Situation

Select the situation that applies to you:

How many parking spaces would you like to have a charging station installed?

Please enter a number greater than or equal to 1.

How should the charging stations be placed?

Mounting against the wall

Mounting on a single post (1 connection per post)

Mounting on a double post (2 connection per post)

Other

Meter

If there are 3 fuses under your smart meter, you can read the capacity of the connection from these fuses. If not, you can find it on your energy supplier's final bill.

What is the capacity of your power connection

1-phase 35/40A

3-phase 25A

3-phase 35A

3-phase 50A

3-phase 63A

3-phase 80A

Don't know

Current energy rate

Upload most current energy contract

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 128 MB.

EAN code meter box

Group box Take pictures of your distribution board, showing the switches clearly. Make sure the entire distribution board is visible. In addition, we must have a photo that shows the entire space around the group box. If your smart meter is in a room other than the group box also take pictures of the smart meter and the area around the smart meter.

Group box

Drop files here or

Accepted file types: png, heic, jpg, gif, pdf, Max. file size: 25 MB, Max. files: 10.

Placement of charging stations

Here you specify where you want the charging stations to be placed.

Take pictures of the parking spots where the charging stations are to be placed. Make sure that this includes the location where the pole is to be placed. When mounted on a back wall, also photograph the back wall.

Placement of charging stations

Drop files here or

Accepted file types: png, heic, jpg, gif, pdf, Max. file size: 25 MB, Max. files: 10.

Cable route

Here you specify how the cable can be brought from the meter box to the location of the charge point.

What is the distance in meters from the meter box to the position of the charging station? *

Please enter a number greater than or equal to 1.

How many walls need to be pierced?

How many meters should the cables cross a wall or ceiling? (I.e. cable tray mounting)

Do not include crawl space meters, but do include anywhere the cables are in sight.

Is there a crawl space available?

Yes, and this one is quite passable

Yes, with insulation beads

Yes, there is (a layer of) water in the crawl space

If possible, upload photos of the crawl space

Drop files here or

Accepted file types: png, heic, jpg, gif, pdf, Max. file size: 25 MB, Max. files: 10.

Excavation and paving work

If excavation and/or paving work is required, please fill in the details below. In addition, you should attach photos of the complete course.

How many meters of excavation/paving is necessary?

Photos/videos of cable route towards desired location of charging station

Drop files here or

Accepted file types: png, heic, jpg, gif, pdf, mp4, mov, Max. file size: 50 MB, Max. files: 10.

Describe how you think the cable can best be brought from the meter box to the desired position of the charge point. The more complete your description the better.

Example: From meter box drill to crawl space > 5 meters to exterior wall and drill through > 3m through garden with excavation > mount charging station on mounting post

Photos/videos of the excavation/streetwork that needs to be opened.

Drop files here or

Accepted file types: png, heic, jpg, gif, pdf, mp4, mov, Max. file size: 50 MB, Max. files: 10.

Any additional comments

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Required information

Installation address

Situation

Meter

Placement of charging stations

Cable route

Excavation and paving work