Residential Insulation Rebate Application Asterisks (*) indicate required fields.CUSTOMER INFORMATIONAccount Number* Are you the account holder?* Yes No Relationship to Customer (if not account holder)* Family Member Landlord Tenant Name* 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 above I have a different mailing address Mailing 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 INFORMATIONResidence Type:* Site Built Home (Four-plex or less) Multi-Family Home (Five-plex or more) Manufactured Home Multi-Family Type:* Low Rise (5 or more units, 3 stories or less) Mid/High Rise (6 or more units, 4 stories or higher) Electric Heat Source:*Residence must have permanently installed electric heat system capable of heating entire dwelling to qualify. Baseboard Ceiling Cable Wall/Cadet Heat Pump Electric Forced Air Other Other Heat Source:* ENERGY EFFICIENT UPGRADESI plan to install:*(Check all that apply) Attic Insulation Floor Insulation Wall Insulation I plan to install:*(Check all that apply) Attic Insulation Floor Insulation I plan to install:*(Check all that apply) Attic Insulation Wall Insulation Installation Method* Contractor Installed Self Installed Attic InsulationPlease input any additional R-values into the Notes section at the bottom of this form.Existing R-Value*Final R-Value (proposed)*Area (sq ft)*Floor InsulationPlease input any additional R-values into the Notes section at the bottom of this form.Existing R-Value*Final R-Value (proposed)*Area (sq ft)*Wall InsulationPlease input any additional R-values into the Notes section at the bottom of this form.Existing R-Value*Final R-Value*Area (sq ft)*REBATE PROGRAM GUIDELINES Please click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts All requests for rebate funds must be pre-approved. If the work is not completed within six months of approval, customer must reapply for rebate(s). There is no guarantee that funds will be available after the six-month approval or that the incentive amount will remain the same. Rebate(s) are available on a first-come, first-served basis and are subject to availability of funds. Before Installation: An audit and prior approval are required. Call 1-888-883-9879 to schedule. All energy efficient upgrades must be installed according to Central Lincoln PUD specifications. Wall insulation: In-progress photographs required before, during & after insulation installation. The pictures must be included with the final paperwork submission. After Installation: A final inspection is required before the rebate can be processed. Please call 1-888-883-9879 to schedule after the work has been completed and all required documents have been submitted. Rebate(s) will not exceed 70% of the installed job cost. Rebate(s) for self-installed energy efficient upgrades will not exceed 70% of the cost of materials. All requests for rebate funds must be pre-approved. If the work is not completed within six months of approval, customer must reapply for rebate(s). There is no guarantee that funds will be available after the six-month approval or that the incentive amount will remain the same. Rebate(s) are available on a first-come, first-served basis and are subject to availability of funds. Before Installation: An audit and pre-approval are required. Call 1-888-883-9879 to schedule. All energy efficient upgrades must be installed according to Central Lincoln PUD specifications. After Installation: A final inspection is required before the rebate can be processed. Please call 1-888-883-9879 to schedule after the work has been completed and all required documents have been submitted. Rebate(s) will not exceed 70% of the installed job cost. Rebate(s) for self-installed energy efficient upgrades will not exceed 70% of the cost of materials. UPLOAD YOUR FINAL DOCUMENTSThe following documents are required before final inspection of the new insulation: Contractor installed: copies of contractor final invoice(s) noting R-value of existing insulation, R-value of final insulation and square footage of added insulation. The date of the installation and invoice date must be on or after October 1, 2019. Include in-progress wall photos, if applicable. Self-installed: copies of purchase receipt(s) noting R-value of existing insulation, R-value of final insulation and square footage of added insulation. The date of the installation and invoice date must be on or after October 1, 2019. Include wall photos, if applicable. The following documents are required before final inspection of the new insulation: Contractor installed: copies of contractor final invoice(s) noting R-value of existing insulation, R-value of final insulation and square footage of added insulation. The date of the installation and invoice date must be on or after October 1, 2019. Self-installed: copies of purchase receipt(s) noting R-value of existing insulation, R-value of final insulation and square footage of added insulation. The date of the installation and invoice date must be on or after October 1, 2019. * Drop files here or Select files Max. file size: 20 MB. Please note: We now require all documentation to be turned in before we will perform the final inspection. Please double check that you have attached all required final documents. 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 Central Lincoln PUD (CLPUD). CLPUD disclaims any warranty, whether expressed or implied, regarding the measure(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 measure(s) must be installed to CLPUD 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. CLPUD strongly recommends validating qualifications before work begins. I understand the above and certify that I am a customer of CLPUD, that the measure(s) are installed at the address indicated on this application, and that this address is within CLPUD service territory. I agree Allow 8 to 10 weeks after final inspection and receipt of all required documentation for rebate processing. Call 1-888-883-9879 to learn about additional energy efficiency programs.
