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

Rebate Project Type*

Retrofit

Upgrade

What was the previous primary heat source?*

Electric Zonal

Electric Forced-Air Furnace

Heat Pump

Other

The building is not eligible for the Retrofit rebate. Please change your rebate project type to Upgrade.

The building is eligible for the Retrofit rebate. Please change your rebate project type to Retrofit.

What type of Non-Electric heat source did the building use?*

Indoor Unit Type*

Ductless

Ducted

Mixed

Does the new Ductless Heat Pump have a minimum 10.4 HSPF2 or 11.0 HSPF?*

Yes

No

The new system is not eligible for the rebate.

Does the new Mini-Split Heat Pump have a minimum 9.4 HSPF2 or 10.0 HSPF?*

Yes

No

The new system is not eligible for the rebate.

How many total outdoor units are you installing?*

Are you using different outdoor models?*

Yes. More than one model name is being used.

No. All outdoor units have the same model name.

Please enter the certified registration numbers and upload the AHRI Certificates for each outdoor unit model name used in your project.

AHRI Number(s)*

Date of Installation*

Upload AHRI Certificate(s)*

If you have more than one type of outdoor unit model in your project, include the AHRI Certificate for each model name.

Drop files here or

Max. file size: 20 MB.

Upload Invoice*

Upload the Final Invoice(s) with outdoor unit model number(s), total installed cost, customer name, site address, and date of installation.

Drop files here or

Max. file size: 20 MB.

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