Equipment Rebates Eligible products will be combined into one rebate check for payment, per application submission.
Invoice Date
MM slash DD slash YYYY
Include the Project invoice date. A "Project" is an installation at a single building address by the property owner, manager or developer.
What types of equipment units did you have installed?* Only one option above can be checked at a time.
Number of Natural Gas Boiler Units* 0 1 2 3 4 5
Select the number of Natural Gas Boiler units you'd like to claim for rebates.
Number of Natural Gas Furnace Units* 0 1 2 3 4 5
Select the number of Natural Gas Furnace units you'd like to claim for rebates.
Total Rebate
$0.00
Product 1 - Natural Gas Boiler Rebate - Product 1 - Natural Gas Boiler
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Manufacturer*
Model Number*
Serial #*
Heating Capacity, MBH* Product 1 - Natural Gas Furnace Rebate - Product 1 - Natural Gas Furnace
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Output Heating Capacity (MBTUH)* Brand Name*
Model Number*
Product 2 - Natural Gas Boiler Rebate - Product 2 - Natural Gas Boiler
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Heating Capacity, MBH* Brand Name*
Model Number*
Product 2 - Natural Gas Furnace Rebate - Product 2 - Natural Gas Furnace
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Output Heating Capacity (MBTUH)* Brand Name*
Model Number*
Product 3 - Natural Gas Boiler Rebate - Product 3 - Natural Gas Boiler
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Heating Capacity, MBH* Brand Name*
Model Number*
Product 3 - Natural Gas Furnace Rebate - Product 3 - Natural Gas Furnace
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Output Heating Capacity (MBTUH)* Brand Name*
Model Number*
Product 4 - Natural Gas Boiler Rebate - Product 4 - Natural Gas Boiler
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Heating Capacity, MBH* Brand Name*
Model Number*
Product 4 - Natural Gas Furnace Rebate - Product 4 - Natural Gas Furnace
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Output Heating Capacity (MBTUH)* Brand Name*
Model Number*
Product 5 - Natural Gas Boiler Rebate - Product 5 - Natural Gas Boiler
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Heating Capacity, MBH* Brand Name*
Model Number*
Product 5 - Natural Gas Furnace Rebate - Product 5 - Natural Gas Furnace
This field is hidden when viewing the form
Product Type A "Project" is an installation at a single building address by the property owner, manager or developer.
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.
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*
AFUE (%)* Ensure your product meets the 94% AFUE criteria for this program.
Serial #*
Output Heating Capacity (MBTUH)* Brand Name*
Model Number*
Please fill out the form below to apply. Fields marked with an asterisk * are required.