Green Choice Program Opt-Out Online Form

If you are currently enrolled in the Green Choice Program and wish to no longer participate, please fill out the form below.

Please type your first name.

Please type your last name.

Please type your service address.

Please type your phone number.

Please select phone type

Please type your email address.

You must agree to Used EV Terms and Conditions to Reserve Rebate

  • By submitting this online form, you agree to no longer participate in the Green Choice Program.
  • Program participants are committed for the entire program period. You will no longer see the additional charge of $0.018 per kWh at the end of the program period, on December 31, 2021
  • BWP is not responsible for Green Choice Program applications lost or destroyed in the mail
Please select the captcha.

Details will be sent via our secure server.
If you prefer not to submit this form electronically, print and mail this page to:

City of Burbank
Burbank Water and Power

P.O. Box 631
Burbank, CA 91503-0631