CECMO Mini/Multi-split Ductless Heat Pump Rebate

1Qualifications

2Home Information

3Applicant Information

4Submit Application

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Utility Name

Application form

The heat pump equipment installed must be purchased new with certification by the Air-Conditioning, Heating, and Refrigeration Institute (AHRI).

To verify the new heat pump's efficiency ratings, please use the AHRI certificate for the system.

The contractor should provide the AHRI certificate. Rebates without AHRI information cannot be processed.

Who is submitting this application?*

Member/Homeowner

Contractor

AHRI Certified Reference Number*

Serial Number*

Date of Installation (or Purchase)*

If project is not yet installed, enter purchase date.

Installation Address*

For the home receiving the new heat pump.

Street Address City State ZIP Code

Are you the Citizens Electric Corporation residential member at this address?*

The electric bill shows the member name(s).

Yes

What relationship do you have to the Citizens Electric member(s)?*

Family

Tenant or Resident

Homeowner

Landlord or Property Manager

Other

Who is named on the home's electric bill?

This box can be left blank, if needed.

Citizens Electric Account Number (if known)

Your Name*

First Last

Contractor Company Name*

Customer Name*

First Last

Your Email*

Enter Email Confirm Email

Your Phone*

Contractor Email*

Enter Email Confirm Email

Contractor Phone*

Customer Phone*

Customer Email (optional)

Enter Email Confirm Email

Will the rebate check need to be mailed to a different address, other than the home?*

Yes

Mailing Address*

Street Address City State ZIP Code

Residential Mini/Multi-split Ductless Heat Pump Rebate

Before you get started

Rebates

Existing homes only

Application form