OTEC Central AC Rebate

APPLICANT INFORMATION

Account Number

Are you the OTEC account holder?*

Yes

Relationship to OTEC Account Holder*

Family Member

Landlord

Tenant

Other

Applicant Name*

First Last

Phone*

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

UPLOAD DOCUMENTS

APPLICANT INFORMATION

SUBMIT YOUR APPLICATION