(Optout Form) Green Choice Program

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.

Name on BWP Account:(*)

Please type your first name.

Last Name(*)

Please type your last name.

Service Address:(*)

Please type your service address.

Phone:(*)

Please type your phone number.

Phone Type(*)

Please select phone type

Email Address:(*)

Please type your email address.

BWP Account Number:

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I hereby certify that the above information is true and accurate, and I agree to the Green Choice Program Terms and Conditions. You must agree to Used EV Terms and Conditions to Reserve Rebate

Terms and Conditions:

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, 2023.
BWP is not responsible for Green Choice Program applications lost or destroyed in the mail.

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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