Equipment Request Form

Equipment Request Form
If you are requesting help after a disaster please use this form instead!

We are accepting requests for solar, battery, and microgrid equipment to support disaster recovery, community resilience projects, and community events. We prioritize projects in the following order:
1. Disaster Responders (ex: search & rescue team)
2. Resilience hubs (ex: food pantry)
3. Individual assistance (ex: electric wheelchair user)
4. Education / Workforce Development (ex: high school program)
5. Events (ex: festival)
Please note that submission of your request does not guarantee availability. We will reach out with additional questions and updates as needed. Thank you for your interest and patience!
Which option best describes your project?

Your Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization Name
Location

Street Address

Street Address Line 2

City

Zip Code
State (if Puerto Rico please select blank option at the bottom)
Site Request Name
Tell us about your Organization
Tell us about your project - be as detailed as possible
Expected Impact:

Direct impact = someone plugging in directly
- ex: a person charging their cell phone at a charging station
Indirect impact = someone benefitting from something plugged in
- ex: a person gets milk from a fridge plugged into a solar generator
Please help us with reporting by estimating to the best of your ability how many people our services will impact per week.
How many people will your project DIRECTLY serve per week?
How many people will your project INDIRECTLY serve per week?
Site Notes
Please verify that you are human
Should be Empty: