Energy Audit Rebate Form

Applicant Information

Enter your Account #

First Name

Last Name

Email

Phone

Record Type Name

Service Address Information

Street

City

State Abbreviation

Please select... WI

Zip Code

Audit Information

Date of Service

Cost of Audit

Service Provider Name

Service Performed by

Please select... Home Auditor Certified Energy Manager

Provider Email 

Water Heater Fuel Type

Please select... Electric Propane Natural Gas Other

Home Heating Fuel Type (Primary)

Please select... Electric Propane Fuel Oil Natural Gas Wood Other

Attach Invoice & Audit Report Here

Auditor Report

Invoice

Terms and Conditions

• Home, business, or farm receiving energy audit must be on cooperative’s lines. 
• Incentive not to exceed cost of the audit. 
• Energy audit must be performed by a certified Home Performance or Energy Auditor, certified Energy Manager, or a cooperative-approved partner. 
• The audit must be a comprehensive audit, including a written report. 
• The audit report must indicate the improvement(s) will result in electrical or delivered fossil fuels (LP, fuel oil) reduction or efficiency. 
• Each member account qualifies for only 1 Energy Audit – Cost of Audit incentive every 5 years, regardless of the number of audits performed. 
• Incentives are in place through December 31, 2026. Funds are limited so submit required documentation as soon as possible. 
• Required documentation must be submitted within 3 months of audit completion, or report date if there is a significant delay in the report.

Accept Terms and Conditions