NameThis 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 RequirementsConsent(Required) Your home’s primary heating source is electric.(Required)Consent(Required) You are upgrading or installing new insulation.(Required)Consent(Required) Compliance with all applicable Idaho building codes is required and be installed according to BPA’s Weatherization Specifications & Best Practices Guide(Required)Consent(Required) Upon completion of project, submit a final invoice stating total cost, installation/purchase date, beginning and final R-value and the square footage of upgraded insulation. Also, submit pre- and post-photos of project.(Required)Consent(Required) An in-person inspection may be required from United Electric Co-op and/or Bonneville Power Administration upon completion.(Required)Rebates will be credited to members’ account unless otherwise noted.Applicant’s Electronic Signature (Full Name)(Required)
