Application Date *
MM slash DD slash YYYY
Contact Information Name *
* Phone * Email * Account Number *
You can find your account number on your Energy Cooperative bill. You can also find it by logging into our website, or checking the registered accounts section in the SmartHub app. Questions? Give us a call at 1-800-255-6815 for assistance.
Select Rebate Residential Rebates Select the type of rebate. Dual Fuel Heat Pump Rebate Geothermal Rebate Electric Water Heater Rebate Energy Star Appliance Rebate Rebate to add Radio Control Switch to Existing Air Conditioning Unit Electric Vehicle Charger Rebate Insulation & Air Sealing Rebate Smart Thermostat Rebate Required Information Purchase Date *
MM slash DD slash YYYY
Where did you purchase the appliance? * Appliance * Energy Star Refrigerator Energy Star Stand Alone Freezer Manufacturer * Appliance Model * Was the old appliance removed from the service address? *
You must remove the old appliance from the service address to qualify for this rebate.
Tank Size (in gallons) * Size (Tons) * EER *
EER is the energy efficiency of your air conditioner. To find EER from these two variables, simply divide Capacity (BTUs) by Power (W). Both metrics will be listed on your HVAC device. You can find this information by looking up your product on the Energy Star Website. https://www.energystar.gov/productfinder/
SEER, or Seasonal Energy Efficiency Rating, measures an air conditioner’s efficiency throughout an entire cooling season, with temperatures ranging from 65°F to 104°F. You can find this information by looking up your product on the Energy Star Website. https://www.energystar.gov/productfinder/
HSPF, or Heating Seasonal Performance Factor, is the measure of a heat pump's overall energy efficiency during the heating season (fall and winter). You can find this information by looking up your product on the Energy Star Website. https://www.energystar.gov/productfinder/
Heating Backup * Water Heating Option * Loop Type * Closed or Open Loop? * Size of elements (in watts) * Type of Water Heater * Efficiency * What type of system did you replace? * Are you interested in a Radio Control Switch? * Ductless Mini-Split System Type * Central System Type * Interested in a cool returns rebate? * Number of Charging Ports * Model Number * Thermostat Manufacturer Select all that apply. * Contractor * Which of the following were part of this project? Did the contractor follow Energy Star Guidelines? Did the contractor complete the following after installation?
We will need to verify the results of the test to process the application.
Questions/ Comments? Documentation *
Drop files here or
Max. file size: 3 MB, Max. files: 2.
Please upload pictures or scans of receipts, proof of delivery or installation, and any other requirements for the program.
This field is for validation purposes and should be left unchanged.