Rivian Intake Form

Site Location:

Site Account

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Priority

Work Order Number

Lock Box Code

Keys Location

Access Requirements

Desired ETA

Contact Info

Contact Info - Rivian Contact(Required)

Site POC-Rivian Contact First Name Site POC-Rivian Contact Last Name

Site POC-Rivian Contact Phone Number(Required)

Site POC-Rivian Contact Email(Required)

Contact Info - Dispatch

Contact person-Disbatch First Name Contact person-Disbatch Last Name

Contact person-Dispatch Phone Number

Contact person-Dispatch Email

Project Information

Technician Findings

SOW to Perform:

Photos:

Drop files here or

Max. file size: 98 MB.

Project Type

Ran 1.0 L3 (select all that apply)

Ran 1.5 L3 (select all that apply)

Service Center Fleet L3 (select all that apply)

Service Center L2 (select all that apply)

Site Information

Location Type:

Retail

Rivian Service Center

Other Commercial

Charger Equipment Status:

Full Site offline

Partial Site offline

Single Asset offline

Switchgear manufacturer:

If Other:

If available, attach Site drawings & Cut sheets: