Induction Cooktop Incentive Form

Application Record Type ID

Record Type Name

Please complete this form and submit it with a proof of purchase of an installed induction cooktop to receive a $100 one-time bill credit. Note that this incentive does not apply to portable induction cooktops.

Contact Information

Account #

First Name

Last Name

Phone

Service Address Information

Street

City

State Abbreviation

Zip Code

Is your Service Address same as your Mailing Address?

YesNo

Mailing Address

Street

City

State Abbreviation

Zip Code

Make and Model Number

Serial Number

Information needed for the next question. The next question is required for VEC to comply with state reporting guidelines and does not affect your eligibility for the incentive.

Household income is gross wages (i.e. pre‐tax) from all sources of income from individuals who are considered part of your household.

Chittenden, Franklin or Grand Isle County

1 person: $72,700

2 person: $83,100

3 person: $93,500

4 person: $103,850

5 person: $112,200

6 person: $120,500

7 person: $128,800

8 person: $137,100

Addison County

1 person: $65,050

2 person: $74,350

3 person: $83,650

4 person: $92,900

5 person: $100,350

6 person: $107,800

7 person: $115,200

8 person: $122,650

All other counties

1 person: $62,550

2 person: $71,500

3 person: $80,450

4 person: $89,400

5 person: $96,550

6 person: $103,700

7 person: $110,850

8 person: $118,000

Based on your county and household size, was your 2024 household income at or below the level in the chart above?

YesNo

Please upload a copy of your purchase receipt.

This information may be shared with state regulators and their contractors for program evaluation. By submitting this form, you agree to allow VEC to share this information with regulators for program evaluation.

I agree