Heat Pump Rebate Application

Complete all sections and accept terms and conditions to ensure proper and prompt payment of rebate. If you need assistance completing the online rebate form, call Linn County REC 319-377-1587 and ask to speak to an Energy Advisor.

Complete Supplemental Mini-Split Heat Pump Rebate Application if systems does not supply 100% heating to a residential dwelling.

**Applications received for Ground-Source or Air-Source Heat Pumps within 10 years that are replacing an existing (same) Heat Pump are subject to approval by Linn County REC. Linn County REC will look at original install date, deemed savings, prior rebate amount and manufacturer warranty to determine if a rebate will be offered.

Member Information (Service/Equipment Location)

Member Account Type

Account Number

Remove dashes and spaces (12-34-567 89) to 123456789

Member First Name

Member Last Name

Street (Service Location)

City (Service Location)

State (Service Location)

Zip Code (Service Location)

Phone

Email

Who is Filling Out/Submitting the Rebate

Rebate Check Mailing Address Same as Equipment location

Rebate Check Mailing Address

First Name (Rebate Check)

Last Name (Rebate Check)

Street (Rebate Check)

City (Rebate Check)

State (Rebate Check)

Zip Code (Rebate Check)

Equipment Installer

Installation By:

Licensed Contractor Self-Installed

Company Name (Contractor)

Contact Person (Contractor)

City (Contractor Business Location)

Email (Contractor)

Salesforce Contact

Application ID

Service Location

Billing Account Lookup

Salesforce Account

General Information

Construction Year

Will Equipment be on Optional Heat Plus Rate

Who is Completing the Heat Plus Application?

Alternative Energy Production on Site

Water Heater Fuel Source

Heat Pump Type and Number of Units

Installation Type

Equipment Type

Installation Date

Number of Units

Age of Unit(s) Being Replaced

Are You Using SEER, EER, HSPF or SEER2, EER2, HSPF2

Ground-Source Heat Pump (Unit 1)

GSHP AHRI Number

GSHP Area Served (Sq. Ft.)

GSHP Manufacturer

GSHP Model Number

GSHP Serial Number

Furnace Model Number (GSHP Hybrid Only)

GSHP Cooling Tons (Round to Nearest .5 ton)

Use tons, not BTUs

GSHP Stages

GSHP EER

GSHP COP

GSHP System Backup Heat

GSHP Backup Heat kW

Gas Furnace GSHP Backup BTUH (Hybrid)

New Installation Geothermal Assisted Storage Unit/Energy Recovery

Ground-Source Heat Pump (Unit 2)

Unit 2 GSHP AHRI Number

Unit 2 GSHP Area Served (Sq. Ft.)

Unit 2 GSHP Manufacturer

Unit 2 GSHP Model Number

Unit 2 GSHP Serial Number

Unit 2 Furnace Model Number ( GSHP Hybrid Only)

Unit 2 GSHP Cooling Tons (Round to Nearest .5 ton)

Use tons, not BTUs

Unit 2 GSHP Stages

Unit GSHP 2 EER

Unit 2 GSHP COP

Unit 2 GSHP System Backup Heat

Unit 2 GSHP Backup Heat kW

Unit 2 GSHP Backup Heat BTUH (GAS)

New Installation Geothermal Assisted Storage Unit/Energy Recovery

Air-Source Heat Pump (Unit 1)

ASHP AHRI Number

ASHP Area Served (Sq. Ft.)

ASHP Manufacturer

ASHP Model Number (ASHP)

ASHP Serial Number (ASHP)

ASHP Model Number (Coil)

ASHP Serial Number (Coil)

ASHP Model Number (Furnace)

ASHP Cooling Tons (Round to Nearest .5 ton)

Use tons, not BTUs

ASHP EER

ASHP SEER

ASHP HSPF

ASHP COP @ 5 Degrees

ASHP Stages

Heat Pump Lockout Setpoint °F

ASHP System Backup Heat

ASHP Backup Heat kW

ASHP Backup Heat BTUH (GAS)

Multi-Zone System - Number of Indoor Heads

Air-Source Heat Pump (Unit 2)

Unit 2 ASHP AHRI Number

Unit 2 ASHP Area Served (Sq. Ft.)

Unit 2 ASHP Manufacturer

Unit 2 ASHP Model Number (ASHP)

Unit 2 ASHP Serial Number (ASHP)

Unit 2 ASHP Model Number (Coil)

Unit 2 ASHP Serial Number (Coil)

Unit 2 ASHP Model Number (Furnace)

Unit 2 ASHP Cooling Tons (Round to Nearest .5 ton)

Use tons, not BTUs

Unit 2 ASHP EER

Unit 2 ASHP SEER

Unit 2 ASHP HSPF

Unit 2 ASHP Stages

Unit 2 COP @ 5 Degrees

Heat Pump Lockout Setpoint °F (2)

Unit 2 ASHP System Backup Heat

Unit 2 ASHP Backup Heat kW

Unit 2 ASHP Backup Heat BTUH (GAS)

Multi-Zone System - Number of Indoor Heads (2)

Geothermal Assisted Storage Unit/Energy Recovery $150/Unit
Eligible on new installations only

Rebate Amount and Installed Cost

Installed Cost (Exclude Ductwork)

Total Cooling Tons (Round to Nearest .5)

If self-installed, labor cannot be applied to installed cost.

Submitted Rebate Amount

Geothermal Assisted Storage Unit/Energy Recovery Rebate (If applicable)

New GSHP Installs Only

Attach AHRI Certificate and Invoice Here

Use For Extra Documents If Needed

Member Authorization

General Terms and Conditions

Account holder hereby certifies that
(1) The account holder is solely responsible for the accuracy of the application information;
(2) All rules of Linn County REC’s energy efficiency program have been followed;
(3) Linn County REC will not be liable for any work performed or guarantee energy/cost savings;
(4) Account is in good standing.
(5) Any equipment installed must be new.
(6) Linn County REC reserves the right to extend, modify (including incentive levels) or terminate this Program at any time without prior or further notice. The Member is responsible for checking with the Utility to determine whether the program has been changed or is still in effect.
(7) Linn County REC reserves the right to inspect equipment and verify sales transactions.
(8) Rebates shall be pro-rated based on the percent of power supplied by Linn County REC if the member has Alternative Energy Production, LCREC may hold rebate up to 12-months for verification.
(9) Applications and required documents must be submitted within three (3) months of the install/purchase date (based on member's invoice or receipt date) and are subject to 2025 rebate eligibility if received after December 31, 2024.

By checking the field below, you are agreeing to all terms of this rebate application.

Accept Terms and Conditions