New ENERGY STAR Qualified Manufactured Home Rebate Application Asterisks (*) indicate required fields.CUSTOMER INFORMATIONAccount Number*Are you the account holder?*YesNoRelationship to Customer (if not account holder)*Family MemberLandlordTenantName* First Last Phone*Email* Installation Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have a different mailing address?*My mailing address is the same as aboveI have a different mailing addressMailing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HOME INFORMATIONElectric Heat Source*Electric Forced AirHeat PumpCentral Air Conditioning*YesNoSquare Footage*Manufacturer (brand)*Home Certification Number (VIN or Serial Number)*REBATE INFORMATIONPlease click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts Only brand new manufactured homes with a permanently installed Forced Air Electric Furnace or Heat Pump qualify for this rebate. UPLOAD REQUIRED DOCUMENTSA copy of the Northwest Energy Efficient Manufactured (NEEM) Homes ENERGY STAR qualified compliance certificate must accompany this application.Attach NEEM compliance certificate*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 the Central Lincoln PUD (CLPUD). CLPUD is released of any liability associated with the selection, installation, or operation of the equipment which was purchased under this program, and in no way is CLPUD responsible for the safety or satisfactory performance of this equipment. CLPUD will not accept any liability caused by customer’s participation in this program. CLPUD reserves the right to inspect the manufactured home for compliance. I understand the above and certify that I am a customer of CLPUD, that the new manufactured home is located at the installation address and that this address is within the CLPUD 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.