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Search for:
Consumer Equipment Rebate Request
Use this form when submitting for consumer equipment/tank rebates.
For all other rebates,
use this form
.
Consumer Equipment Rebate Form
Date:
*
PIN
*
Association Name
*
Name
*
First
Last
Phone
Email
*
Please select
*
Select Program Type
EE2 ENERGY EFFICIENCY & SAFETY EQUIPMENT
RD&D3 FACILITATING & TRANSITIONING ENERGY EFFICIENT EQUIPMENT
Total Requested
*
Upload Rebate Spreadsheet
*
Upload supporting documentation (if needed)
Payment to
*
PAYMENT TO
ASSOCIATION
CONSUMER DIRECTLY
CONSUMER DIRECTLY, BUNDLE & RETURN TO ASSOCIATION
SERVICE/INSTALL COMPANY
If payment to service/install company, upload W-9
This is for an oil efficiency and upgrade program and I certify that to the maximum extent practicable, I have coordinated, developed and implemented this project with the state energy efficiency administrator.
*
Yes
No
I hereby declare the the funds were used in accordance with the National Oilheat Research Act of 2000.
*
Yes
No
I have read, understand and agree to comply with NORA State Rebates Terms & Conditions.
*
Yes
No
Submit
Reset
NORA Statute
Rebate Terms & Conditions
