LinkedInThis field is for validation purposes and should be left unchanged.Account Number(Required)Phone(Required)Address(Required) 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 House Type(Required) Single Family/Stick Built Manufactured Home Apartment Other Primary heat source must be electric(Required) Heat Pump Electric Forced-Air Furnace Electric Baseboard/Zonal Gas Other Rebate Amount(Required) 40 Gallon $1400 50 Gallon Tier 3 $1600 50 Gallon Tier 4 $1800 To qualify for a rebate: Replace an existing water heater with a qualifying model in an existing home. You may use this list to find a model, however, please note that only models listed on this PDF that fall into Tier 3 and 4 will qualify: List of Qualified Heat Pump Water Heaters (PDF) Consent(Required) I understand that upon completion, an invoice must be submitted showing installed cost.(Required)Rebates will be credited to members’ account unless otherwise noted.Applicant’s Electronic Signature (Full Name)(Required)
