Lassen Geothermal Heat Pump Rebate

Customers or Contractors may submit the application. You will need the project's AHRI Certificate, final invoice, and basic home heating and cooling information.

Installations required by Title 24 codes and standards are not eligible for rebates.

We require the new Geothermal Heat Pump's AHRI Certificate to be provided by the contractor. Rebate applications without this information cannot be processed.

AHRI Certificate Reference Number*

Is the new Geothermal Heat Pump ENERGY STAR certified?*

System must be listed with ENERGY STAR to qualify for the rebate.

Yes

No

This equipment is not eligible for the rebate. Thank you for your interest.

Heat Exchange Type for new Geothermal Heat Pump*

Water-Loop

Ground-Water

Ground-Loop

Date of Installation (or Purchase)*

If project is not yet installed, enter purchase date.

Are you the utility account holder at the installation address?*

Yes

No

What is your relationship to the utility account holder?*

Family

Tenant or Resident

Homeowner

Landlord or Property Manager

Other

What is the utility account holder's name?

Utility Account Number (if known)

Your Name*

First Last

Contractor Company Name*

Customer Name*

First Last

Installation Address*

Street Address City State ZIP Code

Your Email*

Enter Email Confirm Email

Your Phone*

Contractor Email*

Enter Email Confirm Email

Contractor Phone

Customer Email*

Enter Email Confirm Email

Customer Phone*

Is the mailing address different than the installation address?*

Yes

No

Mailing Address*

If the rebate is paid with a check, it will be mailed to this address.

Street Address City State ZIP Code

SUBMIT YOUR APPLICATION

AHRI Certificate and Final Invoice required.

At a minimum, invoice must include: contractor and customer information, date, project address, job description, cost.
Invoice should also include model number(s) of installed equipment.

Upload Documents*

Drop files here or

Max. file size: 20 MB.

Notes

Include notes you would like on the application, or leave this box blank.

Applicant Release*

I have read and understand this application, including the Terms and Conditions linked at the end of this form.

I certify that the information I have provided in this application is true and correct.