Download the 2023 Electric Outdoor Equipment Rebate Application (Fillable PDF) Name(Required) First Last Account Number(Required) Address(Required) Street Address Address Line 2 City State 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 ZIP Code Email(Required) Phone(Required)Equipment InformationEquipment Purchased(Required)Lawnmower (Minimum 36 Volts)String TrimmerLeaf BlowerChainsawSnowblowerRoto-TillerPressure WasherPurchased from where?(Required) Brand(Required) Model Number(Required) Purchase Price(Required) Date of Purchase (mm/dd/yyyy)(Required) Month Day Year Upload proof of purchase (receipt or paid invoice)(Required)Max. file size: 170 MB.How did you hear about the incentive?(Required) Newsletter Social Media Website Word of mouth Other Please read and sign below to indicate you understand and agree to the following conditions:(Required)All rules and requirements of this program have been followed. Applicant has read and agrees to the Residential Rebate Program Terms and Conditions at sciremc.com/rebates-credits and understands that they are subject to change. Applicant is a residential member of South Central Indiana REMC, an electric cooperative member of Hoosier Energy. The rebated equipment was installed and operational prior to submission of this application. South Central Indiana REMC is providing the electric service to the installation site address listed on this application. Rebated equipment is installed in the primary residence of the applicant. Applicant understands and agrees that neither Hoosier Energy nor South Central Indiana REMC assumes any responsibility or liability arising out of or related to applicant’s participation in Team Up programs. Applicant will allow inspection of the rebated equipment (if requested). Applicant understands applicant will not receive a rebate if applicant and/or applicant’s contractor fails to provide required program documentation. Applicant agrees to purchase power from South Central Indiana REMC for a period not less than the deemed measured useful life of rebated equipment. Should the applicant receive power from any source other than the electric cooperative, including generation owned by the customer, before the end of the equipment’s deemed useful life, the applicant agrees to refund the full amount of the rebate to the distribution cooperative. Applicant gives permission to Hoosier Energy to obtain usage information from their electric cooperative. Applicant understands that Hoosier Energy may use the usage information provided for program evaluation and analysis. If signing in a capacity other than an individual capacity, the individual signing below hereby represents and warrants that s/he is duly authorized to execute and deliver this application on behalf of the applicant. South Central Indiana REMC reserves the right to approve, deny or select the appropriate rebate amount. I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Applicant Electronic Signature (Full Name)(Required) NameThis field is for validation purposes and should be left unchanged.
