Residential Window and ENERGY STAR Qualified Insulated Door Rebate Application Asterisks (*) indicate required fields.CUSTOMER INFORMATIONAccount Number*Name* First Last Are you the account holder?*YesNoRelationship to Customer (if not account holder)*Family MemberLandlordTenantPhone*Email* Enter Email Confirm 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* Mailing 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*Residence must have a permanently installed electric heat system capable of heating the entire dwelling to qualify. Wall Unit Baseboard Ceiling Cable Forced Air Electric Heat Pump Ductless Heat Pump Other Residence Type*New construction windows do not qualify for rebate(s).Site Built Home (up to 4-plex)Manufactured HomeExisting Windows*Existing windows must be single pane, single pane with storms, or double pane with metal frames to qualify. Existing vinyl and double pane wood frame windows do not qualify for rebate(s). Single Pane Double Pane Storm Metal Wood Vinyl ENERGY EFFICIENT UPGRADES* Replacement Windows ENERGY STAR Qualified Insulated Exterior Door(s) Replacement WindowsRebate: $6.00 per square foot Rebate(s) are for replacement windows only. Windows not inside the electrically heated area of the home, such as garages or workshops, are not eligible for rebate(s). All final invoices/receipts & installation must be dated on or after October 1, 2019 to qualify for the current rebate amount.When will your new windows be installed?* Date Format: MM slash DD slash YYYY Area (sq ft)*Please enter the total square footage of windows being replacedU-Factor*ENERGY STAR Qualified Insulated Exterior Door(s) Rebate: $40.00 per door ENERGY STAR® qualified door must be pre-hung, include replacement of the threshold and replace an uninsulated exterior door. Exterior doors must separate heated and un-heated space. Quantity*REBATE PROGRAM GUIDELINESAll requests for rebate funds must be pre-approved. If the work is not completed within six (6) 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. Rebate(s) will not exceed 70% of the installed job cost. 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. 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. UPLOAD YOUR FINAL DOCUMENTSThe following documents are required before final inspection of the new windows/doors: Contractor final invoice(s), or receipt(s) if self-installed, including window measurements. The final invoice & installation date must be on or after October 1, 2019 to receive the current rebate amount. Completed Residential Window and Insulated Door Rebate Application (this form). Copy of one NFRC sticker for each window replaced or a manufacturers window order confirmation with measurements and U-factor verification. Copy of one NFRC sticker or ENERGY STAR® verification for each exterior door replaced. * Drop files here or 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.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 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.