BLEC: Smart Thermostat Rebate Application

1See If You Qualify

2Product Information

3Final Steps

CONGRATULATIONS!

Based on the information you provided, your new Smart Thermostat qualifies for the rebate. Please complete the rest of this form to apply.

Based on the information you provided, your new Smart Thermostats qualify for the rebate. Please complete the rest of this form to apply.

New Smart Thermostat Information

Manufacturer*

Model Number*

Serial Number*

Installation Date*

Installer*

Contractor

Homeowner

Smart Thermostat 2 Information

Manufacturer*

Model Number*

Serial Number*

Installation Date*

Installer*

Contractor

Homeowner

UPLOAD REQUIRED DOCUMENTATION

Submit a copy of your receipt showing:

Manufacturer
Model number
Quantity
Date of purchase
Cost

Upload your Purchase Receipt(s)*

Drop files here or

Max. file size: 20 MB.

APPLICANT INFORMATION

Account Number

Applicant Name*

First Last

Are you the account holder?*

Yes

Relationship to the Account Holder*

Family Member

Landlord

Tenant

Other

Phone*

Email*

Enter Email Confirm Email

Installation Address*

Street Address City State ZIP Code

Do you have a different mailing address?*

My mailing address is the same as above

I have a different mailing address

Mailing Address*

Street Address City State ZIP Code

Application Notes

Please insert any notes that you would like us to review with your application. (This is not required to submit the application.)

SUBMIT YOUR APPLICATION

By submitting this form, the applicant acknowledges that they have opened, read, and agree to the utility's Terms & Conditions found at the bottom of this page.

I agree*

I agree to the Terms & Conditions

SEE IF YOU QUALIFY

System Eligibility

System 2 Eligibility