Canby: Residential Heat Pump Water Heater Rebate Application

Residence Type*

Site Built Home (4 units or less)

Manufactured Home

Multifamily Home (5 units or more)

New Construction

Your home is not eligible for the rebate. Thank you for your interest.

Previous Water Heater Type*

Electric Storage

Gas

Other

Is your new Heat Pump Water Heater on BPA's Qualified Products List?*

Check the list for your model.

Yes

No

Your product does not qualify for this rebate. Thank you for your interest.

New Heat Pump Water Heater Brand*

Model Number*

Location of the new heat pump water heater:*

Conditioned (heated space)

Unconditioned (unheated space)

Installer*

Contractor

Homeowner

Installation Date*

Your invoice or purchase receipt(s) for your new Heat Pump Water Heater is required. This must include:

Brand
Model Number
Date of purchase
Cost
Customer name and address

Upload your Invoice or 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

No

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 read and agree to the utility's Terms & Conditions found at the bottom of this page.

I agree*

I agree to the Terms & Conditions

40-gallon, any tier: $700

50-gallon or higher, Tier 3: $800

50-gallon or higher, Tier 4: $900

Split-system model (any size): $1,100

APPLICANT INFORMATION

SUBMIT YOUR APPLICATION