Electric Vehicle Battery Company Lease Termination Request Form
Submit your request to terminate or return your electric vehicle battery lease. Please provide accurate information to process your request efficiently.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Lease or Account Number
*
Termination Type
*
Early Lease Termination
End-of-Term Lease Return
Requested Termination Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Battery or Vehicle Identification Number (VIN)
*
Return or Shipping Preference
*
Arrange Return at Company Location
Request Battery Pickup
Ship Battery to Company
Reason for Lease Termination
*
Please Select
End of Lease Term
Vehicle Sold or Returned
Upgrading Vehicle/Battery
Relocation
Battery Performance Issues
Other
Current Battery/Vehicle Condition or Issues (if any)
Submit Request
Should be Empty: