Supplemental Mini-Split Heat Pump Rebate Application

Complete all sections and accept terms and conditions to ensure proper and prompt payment of rebate. If you need assistance completing the online rebate form, call Corridor Energy Cooperative at 319-377-1587 and ask to speak to an Energy Advisor.

Complete Air-Source Heat Pump Rebate Application if Mini-Split System supplies 100% heating for a residential dwelling. Restrictions apply for rebate amount on whole-house mini-split systems.

Member Information (Service/Equipment Location)

Member Account Type

Account Number

Remove dashes and spaces (12-34-567 89) to 123456789

Member First Name

Member Last Name

Street (Service Location)

City (Service Location)

State (Service Location)

Zip Code (Service Location)

Phone

Email

Who is Filling Out/Submitting the Rebate

Rebate Check Mailing Address Same as Equipment Location

Rebate Check Mailing Address

First Name (Rebate Check)

Last Name (Rebate Check)

Street (Rebate Check)

City (Rebate Check)

State (Rebate Check)

Zip Code (Rebate Check)

Equipment Installer

Installation By:

Licensed ContractorOwner / Self-Installed

Company Name (Contractor)

Contact Person (Contractor)

City (Contractor Business Location)

Email (Contractor)

Connector Information

Not Needed After Refactor Is Complete

Application ID

Salesforce Account

Service Location

Salesforce Contact

Billing Account Lookup

General Information

Construction Year

Square Footage of Structure

Alternative Energy Production on Site

Will Equipment be on Heat Plus Rate

Primary Heating Fuel

Water Heater Type

Water Heating Fuel Source

Installation Date

Mini-Split Type and Number of Units

Installation Type

Efficiency Type

Number of Units

Mini-Split (Unit 1)

Area Served (i.e. Sunroom, Garage, Shop, Bedroom)

Area Served Sq. ft.

Multi-Zone System - Number of Indoor Heads

Enter Number of Head Units per Outdoor Unit.

AHRI Reference Number

Manufacturer

Cooling Tons (Round to Nearest .5 ton)

Model Number (Outdoor Unit)

Model Number (Indoor Unit)

SEER

EER

HSPF

COP @ 5 Degrees

Mini-Split (Unit 2)

Unit 2 Area Served (i.e. Sunroom, Garage, Shop)

Unit 2 Area Served Sq. ft.

Multi-Zone System - Number of Indoor Heads (2)

Enter Number of Head Units per Outdoor Unit.

Unit 2 AHRI Reference Number

Unit 2 Manufacturer

Unit 2 Cooling Tons (Round to Nearest .5 ton)

Unit 2 Model Number (Indoor Unit)

Unit 2 Model Number (Outdoor Unit)

Unit 2 SEER

Unit 2 EER

Unit 2 HSPF

Unit 2 COP @ 5 Degrees

Rebate Amount and Installed Cost

Installed Cost

Total Cooling Tons (Round to Nearest .5)

Submitted Rebate Amount

If self-installed, labor cannot be applied to installed cost. Rebate cannot exceed 50% of total cost.

Attach AHRI Certificate and Invoice Here

Did the rebate influence your decision to make this purchase?

YesNo

Member Authorization

General Terms and Conditions

Account holder hereby certifies that:
(1) The account holder is solely responsible for the accuracy of the application information;
(2) All rules of Corridor Energy Cooperative's energy efficiency program have been followed;
(3) Corridor Energy Cooperative will not be liable for any work performed or guarantee energy/cost savings;
(4) Account is in good standing.
(5) Any equipment installed must be new.
(6) Corridor Energy Cooperative reserves the right to extend, modify (including incentive levels) or terminate this Program at any time without prior or further notice. The Member is responsible for checking with the Utility to determine whether the program has been changed or is still in effect.
(7) Corridor Energy Cooperative reserves the right to inspect equipment and verify sales transactions.
(8) Rebates shall be pro-rated based on the percent of power supplied by Corridor Energy Cooperative if the member has Alternative Energy Production, CEC may hold rebate up to 12-months for verification.
(9) Applications and required documents must be submitted within three (3) months of the install/purchase date (based on member's invoice or receipt date) and are subject to 2026 rebate eligibility if received after December 31, 2025.

By checking the field below, you agree to all terms of this rebate application.

Accept Terms and Conditions