Generic Rebate Form

Member Information

Service Address Picklist	First Name
SF Service Address ID	Last Name
Email	Phone
New Construction? YesNo	Enter your Account #
	Record Type ID

Contractor Information

Contractor Name	Rebate to be Paid to Contractor? YesNo
Contractor Street	Contractor State
Contractor City	Contractor Zip Code

Service Location

Address	City
State	Zip Code

Electric Vehicle Details

Make	Model
Year	Vehicle Weight
Vehicle Cost	Vehicle Type All Electric Plug-In VehiclePlug-In Hybrid Electric Vehicle Neighborhood Electric Vehicle Electric ForkliftTransportation Refrigeration Unit

Attach Invoice Here

Terms and Conditions

General Terms and Conditions
Rebates shall be pro-rated based on the percent of power supplied by the
utility if the customer has distributed generation.

Application Information: Missing or incorrect information on the application may delay processing and delivery of the rebate. An invoice is required and should include specific product information, including the brand, model, serial number and date of purchase of the energy efficient measures. Other information including manufacturer's equipment performance sheets may be required upon request.

The Utility reserves the right to verify sales transactions and to have reasonable access to the Customer's facility to inspect pre-existing equipment (if applicable) and energy efficient measures installed under this program.

Warranty Information: The Utility makes no warranties, expressed or implied, with respect to equipment operation, material, workmanship or manufacturing. The Utility does not guarantee that a certain level of energy or cost savings will result from the use of products covered by this program.

Limitation of Liability: The Utility's liability in connection with this program is limited to paying the rebate specified when all terms and conditions have been satisfied. Under no circumstances shall the Utility be liable for any consequential or incidental damages or tax liability resulting from participation in this program.

Participant Certification: Participating Customer certifies that he/she purchased and installed the equipment listed on their application at the defined location served by the Utility. The Customer agrees that all information provided is true and that he/she has conformed to all program requirements. If the equipment and application does not comply with the Utility's rules and qualifications, the rebate amount may be denied or adjusted.

Program Changes/Termination: The Utility reserves the right to extend, modify (including incentive levels) or terminate this Program at any time without prior or further notice. The Customer is responsible for checking with the Utility to determine whether the program has been changed or is still in effect.

Customers must apply for rebates within six (6) months of the purchase
date (as shown on the Customer's invoice) and are subject to the current
year program offer if received after January 31st. Past eligibility, however,
does not guarantee that equipment will meet criteria for current programs in effect.

Accept Terms and Conditions