HR Co-op: Non-Residential Ductless Heat Pump Rebate Application

PROJECT INFORMATION

How many total ductless heat pumps (DHPs) are you installing?*

DUCTLESS HEAT PUMP

Project Type*

Retrofit

Upgrade

Indoor DHP Unit Type*

Non-Ducted

Ducted

Mixed

Does this unit have an efficiency of at least 11.0 HSPF?*

Yes

No

Unfortunately, Non-Ducted DHP units must have an efficiency of at least 11.0 HSPF to be eligible for the rebate.

Does this unit have an efficiency of at least 10.0 HSPF?*

Yes

No

Unfortunately, Ducted and Mixed DHP units must have an efficiency of at least 10.0 HSPF to be eligible for the rebate.

What was the previous primary heat source?*

Electric Zonal

Electric Forced-Air Furnace

Other

This building does not qualify for the DHP Retrofit rebate because the previous primary heat source is not electric resistance heat.

What was the previous primary heat source?*

Ductless Heat Pump

N/A (New Construction, Building Addition, or Major Renovation)

Other

Unfortunately, the building's previous primary heat source must be a Ductless Heat Pump (or a New Construction/Building Addition/Major Renovation project) to qualify for the Upgrade Air Source Heat Pump rebate.

Manufacturer*

Outdoor Unit Model Number*

Outdoor Unit Cooling Capacity (in tons)*

AHRI Number*

For projects that have more than one type of outdoor unit, upload the AHRI certificate for each model at the end of this form. Describe in the notes box how many units of each model are being installed before submitting the application.

INSTALLATION INFORMATION

Date of Installation*

UPLOAD FINAL DOCUMENTS

Please upload the required final documents with your application:

Final Invoice(s) with outdoor unit model number, total installed cost, customer name, site address, and date of installation.
AHRI certificate(s) for each type of outdoor model, as needed

Doc Upload*

Drop files here or

Max. file size: 20 MB.

APPLICANT INFORMATION

Account Number

Company Name*

Contact Name*

First Last

Contact Phone*

Contact 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