Rebate, Home Efficiency NEW

Home Energy Efficiency Rebate Form

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Installation Address Different Than Above

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone

Account # (optional)

Select Rebate Items Being Submitted

Heat Pump

Whole-House Fan

Electric Water Heater

Electric Thermal Storage (ETS)

Heat Pump/Air Conditioner

Select Type of Heat Pump

Ground Source Type

Brand Name

Model Number

Ground source heat pumps must meet Energy Star EER and COP ratings, found here.

Coefficient of Performance (COP)

Energy Efficiency Ratio (EER)

Size (tons) or BTU/hr

Heating Seasonal Performance Factor (HSPF)

Seasonal Energy Efficiency Ratio (SEER)

Size (tons) or BTU/hr

Seasonal Energy Efficiency Ratio (SEER)

Size (tons) or BTU/hr

By requesting a rebate you acknowledge and agree that you are and will be solely responsible for any and all applicable state and federal taxes on any rebates you receive through this program.

Installation is New Construction

New and Replacing/or Supplementing

If Other, Please Explain

Upload Invoice/Receipt

Upload requirements

Upload Faceplate Label

Upload requirements

Upload Final Installation Image

Upload requirements

Whole-House Fan

Brand Name

Model Number

Installation is New Construction

New or Replacing

Upload Invoice/Receipt

Upload requirements

Upload Faceplate Label (not switchplate)

Upload requirements

Upload Final Installation Image

Upload requirements

Electric Water Heater

Brand Name

Model Number

Size (Gallons)

Kilowatt (kW) Size

Time-of-Day Control

Warranty/Water Heater Installation Type

New and/or Replacing

If Other, Please Explain

Upload Invoice/Receipt

Upload requirements

Upload Faceplate Label

Upload requirements

Upload Final Installation Image

Upload requirements

*United Power no longer offers a rebate for electric to electric water heater replacements.

Electric Thermal Storage (ETS)

Brand Name

Model Number

Upload Invoice/Receipt

Upload requirements

Upload Faceplate Label

Upload requirements

Upload Final Installation Image

Upload requirements

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