Electric Air to Water Heat Pumps

Incentives for Electric to Heat Pump Conversions or New Construction:

Incentives for Gas or Propane Conversions:

Requirements:

Air-to-Water Heat Pump Rebate Form

Name(Required)

First Last

Service Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Member Account Number(Required)

Phone(Required)

Email(Required)

Product Manufacturer(Required)

Product Model Number(Required)

Size (Total installed tons)(Required)

Here’s the link to the Energy Star page for qualifying products: www.energystar.gov/productfinder/product/certified-central-heat-pumps/results

System Type Replacing(Required)

Equipment Costs(Required)

Installation Date(Required)

Invoice(Required)

Max. file size: 50 MB.

Electronic Signature(Required)