Equipment Rebates Eligible products will be combined into one rebate check for payment, per application submission.
What types of equipment units did you have installed?* Number of Natural Gas Boilers* 0 1 2 3 4 5 6 7 8 9 10
Select the number of equipment units you'd like to claim for rebates.
Number of Commercial Sized Hot Water Heaters* 0 1 2 3 4 5 6 7 8 9 10
Select the number of equipment units you'd like to claim for rebates.
End-use Building Type* Total Building Floor Area (sq ft)*
Total Number of Apartment Units in the Building*
Total Rebate
$0.00
Equipment Unit 1 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 1 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 1 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type Rebate 1 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 2 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 2 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 2 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type* Rebate 2 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 3 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type* Rebate 3 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 3 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type* Rebate 3 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 4 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type* Rebate 4 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 4 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type* Rebate 4 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 5 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 5 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 5 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type Rebate 5 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 6 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 6 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 6 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type Rebate 6 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 7 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 7 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 7 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type Rebate 7 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 8 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 8 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 8 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type Rebate 8 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 9 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 9 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 9 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type Rebate 9 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 10 - Natural Gas Boiler This field is hidden when viewing the form
Equipment Type Rebate 10 - Natural Gas Boiler
Boiler Size and Thermal Efficiency* Select the Size (kBtu/h) and Minimum of 85% or 90% Thermal Efficiency. To determine the size, look for the Input Rating, MBH. 1 MBH = 1 kBtu/h.
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number
Equipment Unit 10 - Commercial Sized Hot Water Heater This field is hidden when viewing the form
Equipment Type Rebate 10 - Commercial Sized Hot Water Heater
This field is hidden when viewing the form
Building Floor Area (sq ft)*
Input Rate (Mbtu/h or kBtu/h)*
Commercial Domestic Hot Water Heaters
Minimum Efficiency
Rebate Amount
= 94% Et
$4/kBtu/h
Thermal Efficiency (Et %)* Et = Thermal Efficiency
Invoice Date*
MM slash DD slash YYYY
Upload Product Invoice* A legible copy of your itemized invoice that shows retailer/contractor name, address, phone number, invoice date, description, manufacturer, model, quantity, purchase price and proof of payment.
Brand Name*
Model Number*
Serial #*
Rated Volume (gal)*
If you purchased a commercial-sized tankless hot water heater please enter “0”.
Upload AHRI Certificate for the model purchased If applicable, include a copy of the AHRI certificate for the model purchased. To obtain a copy of the certificate, visit
www.AHRIdirectory.org AHRI Certified Reference Number