Home Energy Efficiency Upgrade Rebate Form
Full Name
Email
Phone Number
Installation Address
Property Type
Single Family
Multi-family
Townhouse
Condo
Other
Type of Upgrade
Insulation
HVAC System
Windows/Doors
Water Heater
Appliances
Solar Panels
Other
Installer/Contractor Name
Installation Date
Total Cost ($)
Proof of Purchase (Upload)
Additional Comments