Residential Incentives: Heat Recovery Ventilation

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Click Here for Printable Mail-In Version

Member Information

Application Type

Enter your Account #

First Name

Last Name

Street

City

State

Phone

Zip Code

Application ID

Billing Account Lookup

Salesforce Account

Salesforce Contact

Record Type ID

Equipment Location Data

First Name

Last Name

Street

City

State

Zip Code

Service Location

Page 2

Installation and Equipment Information

Spec Building

Check if you are a builder/developer and building is not yet owned by live-in residents

Date Installed

The qualifying Heat Recovery Ventilation (HRV) system must serve the entire conditioned space of the home.

Installation Type

New ConstructionAdded HRV Equipment in existing homeReplacement of existing HRV

Primary Heating Source

Electric Heat (geo, air source, resistance, etc.)Non-electric heat

There is a limit of 2 units per home.

Purchased From

Business

City

Unit(s)

Unit 1

Equipment Information

Make

Model

Serial Number

Unit Watts

Supply CFM

Installed Cost

Quantity

Heat Recovery Ventilator (HRV) Rebate is $125 per unit.

Members must apply for rebates within six (6) months of the purchase date (as shown on the Member's invoice).

Note: Complete additional form for an additional HRV system.

Unit 2

Equipment Information

Make

Model

Serial Number

Unit Watts

Supply CFM

Installed Cost

Quantity

Heat Recovery Ventilator (HRV) Rebate is $125 per unit.

Members must apply for rebates within six (6) months of the purchase date (as shown on the Member's invoice).

Note: Complete additional form for an additional HRV system.

Attach a copy of receipt of other proof of purchase

Unit 2 - Attach a copy of receipt of other proof of purchase

I verify that the above described equipment was installed on the date and location specified. I agree to all program requirements provided (either separately or on back of this form) and that my electric Cooperative reserves the right to inspect all equipment and verify information before issuing a rebate. Accept Terms and Conditions

Save my progress and resume later | Resume a previously saved form

Contact Information