Air Source Heat Pumps Rebate Application

Download the 2023 Air Source or Dual Fuel Heat Pump Rebate Application (Fillable PDF)
Name(Required)
Address(Required)

Home Information

Building Type(Required)
Construction Type(Required)
Occupancy Status(Required)
Housing Type(Required)

Contractor Information

Installation Information

MM slash DD slash YYYY
Which of the following was replaced?(Required)
If you replaced 100% electric resistance heat, what type did you replace?

Compressor Speed(Required)

Equipment Information

Does the heat pump have a gas furnace (dual fuel)?(Required)
Drop files here or
Max. file size: 100 MB.

    Please read and sign below to indicate you understand and agree to the following conditions:(Required)