Smart Thermostat Rebate Application Asterisks (*) indicate required fields.CONSUMER INFORMATIONAccount Number* Are you the account holder?* Yes No Relationship to Consumer (if not account holder)* Family Member Landlord Tenant Name* First Last Phone*Email* Installation Address* 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 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 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 HOME INFORMATIONThermostat that controls heat pump has been programmed to control a heat pump:* Yes No Previous thermostat type:* Programmable Manual Home type:* New Construction Site Built Manufactured Multifamily Installer* Contractor Homeowner Installation Date* MM slash DD slash YYYY NEW EQUIPMENT INFORMATIONPlease click the button below to find current rebate amounts and the Qualified Products List. This will open a new tab. Rebate Amounts How many new Smart Thermostats are being installed?* 1 2 Smart Thermostat 1Manufacturer* Model Number* Serial Number* Heating system controlled by Thermostat 1:* Electric Forced Air Furnace Air/Water Source Heat Pump Non-Electric Unfortunately, the thermostat must control an electric heating system to qualify for the rebate.Is the Smart Thermostat programmed to control a heat pump?*(If you have a heat pump, it is required that your Smart Thermostat be programmed to control a heat pump) Yes No Occupancy detection has been set to "ON":*(It is required that you enable occupancy detection) Yes No Smart Thermostat 2Manufacturer* Model Number* Serial Number* Heating system controlled by Thermostat 2:* Electric Forced Air Furnace Air/Water Source Heat Pump Non-Electric Is the Smart Thermostat programmed to control a heat pump?*(If you have a heat pump, it is required that your Smart Thermostat be programmed to control a heat pump) Yes No Unfortunately, the thermostat must control an electric heating system to qualify for the rebate.Occupancy detection has been set to "ON":*(It is required that you enable occupancy detection) Yes No UPLOAD REQUIRED DOCUMENTSUpload your Purchase Receipt(s)*A copy of your purchase receipt(s) for each new Smart Thermostat is required. Purchase receipt(s) should show model number, manufacturer, quantity, date of purchase, and cost. Rebate Applications are due within six (6) months of purchase to qualify. Drop files here or Select files Max. file size: 20 MB. Application NotesPlease insert any notes that you would like us to review with your application.SUBMIT YOUR APPLICATIONTerms and Conditions*By clicking "submit," the applicant acknowledges the following: Rebate offer(s) may be changed or discontinued at any time by Columbia Basin Electric Cooperative (CBEC). CBEC disclaims any warranty, whether expressed or implied, regarding the energy efficient upgrade(s) listed on this application for any materials or labor associated with installation, maintenance, repair, or any energy savings associated with use. I understand that the energy efficient upgrade(s) must be installed to CBEC specifications, and certify that I, or my contractor, have reviewed the specifications prior to beginning work. When selecting a contractor, I understand that it is the homeowner’s responsibility to request proof of insurance and licensing that meets the statutes and rules of the Oregon Construction Contractors Board. CBEC strongly recommends validating qualifications before work begins. I understand the above and certify that I am a member of CBEC, that the energy efficient upgrade(s) are installed at the address indicated and that this address is within CBEC service territory. I agree Allow 8 to 10 weeks after final inspection approval and receipt of all required documentation for rebate checks to be issued and mailed. Call 888-883-9879 to learn about additional energy efficiency programs.