Home Efficiency Rebate Application
Member Information
Account Number
First Name
Last Name
Service Address
City
State Abbreviation
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Email
Phone
Application ID
Installation Address Different Than Above
Address 2
City 2
State 2
Zip Code 2
Select Rebate Being Submitted
Select Home Efficiency Rebate
Please select...
Heat Pump Rebate
Water Heater Rebate
Heat pump was installed as part of a new construction project.
Heat pump was installed as retrofit on existing home or building.
Water heater was installed as part of a new construction project.
Water heater was installed as retrofit on existing home or building.
Product Does Not Qualify
We're sorry. Your product does not qualify for the home efficiency rebate.
Only heat pumps purchased as a replacement or to retrofit an existing home qualify for this rebate.
Product Does Not Qualify
We're sorry. Your product does not qualify for the home efficiency rebate.
Only water heaters purchased as a replacement or to retrofit an existing home qualify for this rebate.
Heat Pump Installation
Contractor Installation
Do-It-Yourself (DIY) Installation
Name of Contractor Company
Heat Pump
Installation Date
Product must have been installed within 90 days of rebate application in order to qualify.
Select Type of Heat Pump
Please select...
Ground Source
Air Source
Ground Source Type
Please select...
Closed Loop
Water Source
Brand Name
Model Number
Groun
d source heat pumps must meet Energy Star EER and COP ratings,
found here
.
Coefficient of Performance (COP)
Energy Efficiency Ratio (EER)
Seasonal Energy Efficiency Ratio (SEER/2)
Heating Seasonal Performance Factor (HSPF/2)
Size (tons) or BTU/hr
Minimum: 1 ton
New and Replacing/or Supplementing
Please select...
Natural Gas
Propane
None
Other
Upload:
Invoice/Receipt
Upload:
Faceplate Label
Upload:
Final Installation Image
Upload:
AHRI Certificate
Water Heater Installation
Contractor Installation
Do-It-Yourself (DIY) Installation
Name of Contractor Company
Electric Water Heater
Installation Date
Product must have been installed within 90 days of rebate application in order to qualify.
Brand Name
Model Number
Size (Gallons)
Kilowatt (kW) Size
Water Heater Installation Type
Please select...
Standard Tank (40 gal. min.)
Ground Source Heat Pump Desuperheater
Heat Pump Water Heater
New and Replacing/or Supplementing
Please select...
Natural Gas
Propane
Other
Upload:
Invoice/Receipt
Upload:
Faceplate Label
Upload:
Final Installation Image
Terms & Conditions
All rebate applications must be submitted within 90 days of installation. Submission of application does not guarantee rebate. Installation may be subject to inspection by United Power. Limit one unit rebate per member account per rolling 12-month period. New construction projects not eligible for rebates, retrofit projects only.
Please refer to
Rebates & Programs
for criteria on each current rebate program offered by United Power.
Your rebate application is not complete until you hit the
SUBMIT
button below.