Rebate Amounts NEEM 1.1: $900 NEEM 2.0: $1,050 "*" indicates required fields 1Home Information2Submit Application This field is hidden when viewing the formUtility NameThis field is hidden when viewing the formUtility TimelineTo apply, you will need your new home's Certificate of Compliance from the Energy Star/NEEM Program. If your home is eligible and you need a copy of your certificate, see your retail representative. Heat Source* Forced Air Electric Furnace Heat Pump Other Unfortunately, your new Manufactured Home must be permanently installed with a Forced Air Electric Furnace or a Heat Pump to qualify for this rebate. If you have gas heating, please contact your gas provider to see rebates that may be available to you. Central Air Conditioning* Yes No Is the new home Northwest Energy Efficiency Manufactured (NEEM) Homes ENERGY STAR® qualified? Yes No Unfortunately, your new Manufactured Home must be NEEM and ENERGY STAR® qualified to be eligible for the rebate. HOME INFORMATIONSquare Footage of Home*Manufacturer (brand)*NEEM Certificate Number*Shown at the top of your home's NEEM Energy Star certificate. UPLOAD YOUR REBATE DOCUMENTSRequired documentation Certificate of Compliance for ENERGY STAR® Northwest Energy Efficient Manufactured (NEEM) home *Max. file size: 128 MB. APPLICANT INFORMATIONAccount NumberAre you the account holder?* Yes No Relationship to the Account Holder* Family Member Landlord Tenant Other Name* First Last Phone*Email* Installation Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is the mailing address different than the installation address?* Yes No Mailing Address*If the rebate is paid with a check, it will be mailed to this address. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Application NotesPlease insert any notes that you would like us to review with your application. (This is not required to submit the application.)SUBMIT YOUR APPLICATIONTerms & Conditions* I agree to the Terms & ConditionsI understand that: Rebate(s) may be changed or discontinued at any time. The equipment/product(s) must be installed to program requirements and specifications. I accordingly certify that I, or my contractor, have reviewed the specifications prior to beginning work. The equipment/product(s) must be installed in compliance with federal, state and local building and environmental codes and manufacturer instructions. When selecting a contractor, it is the applicant’s responsibility to request proof of insurance and licensing that meets state requirements. Validating qualifications before work begins is strongly recommended. By completing this document, I certify that the equipment/product(s) are installed at the address indicated on this application, and that this address is within service territory.Discrepancies in the application’s information can invalidate the rebate request. This program is provided in partnership with Bonneville Power Administration and utilizes federal funding. Project information may be shared for processing or compliance purposes. The applicant assumes the responsibility of any loss or damages that may occur in connection with the upgrade. : Does not endorse any particular manufacturer, contractor, or product. Reserves the right to inspect completed work and installed product(s). Disclaims any warranty, whether expressed or implied, regarding the energy efficiency improvement(s) listed on this application for any equipment, materials or labor associated with installation, maintenance, repair, or any energy savings associated with use. Does not accept any liability resulting from participation in a rebate program. By submitting this application, I confirm that the information provided is true and accurate to the best of my knowledge. Last Updated: 9/16/24
