Window Replacement Energy Rebate Application
Applicant Information
Full Name
Address
City
Postal Code
Phone Number
Email
Property & Replacement Details
Property Type
Single Family
Townhouse
Condo/Apartment
Other
Number of Windows Replaced
Installation Date
Contractor/Installer Name
New Windows Energy Rating
List of Products Installed / Model Numbers
Supporting Documents
Attach Invoice/Receipt
Other Supporting Documents
Declaration
I declare that the information provided is true and complete.