Ukiah Induction Range Rebate

Is your new range portable or stationary?*

Portable

Stationary

What was the existing range/cooktop type?*

Natural Gas

Electric Resistance

Other

Your home's existing range or cooktop must be electric resistance to qualify for this rebate. Thank you for your interest.

What was the existing range/cooktop type?*

Natural Gas

Electric Resistance

Other

Your home's existing range must use natural gas to qualify for this rebate. Thank you for your interest.

Please note: A before photo of your existing gas range and an after photo of your new induction range are required to apply for this rebate.

Does your new range have an Induction Cooktop?*

Yes

Your purchase is not eligible for the rebate. Thank you for your interest.

Date of Installation (or Purchase)*

If the product is not yet installed, enter purchase date.

Induction Range/Cooktop Brand Name*

Induction Range/Cooktop Model Number*

Proof of purchase is required.

Provide your final invoice/receipt or retailer's email confirmation. Screen captures may not be accepted.
Information should include model number with cost, customer name, address, date.
If converting from a gas range, before and after photos of the installation are required.

Upload Document(s)*

Drop files here or

Max. file size: 20 MB.

Installation Address*

Street Address City State ZIP Code

Applicant Name*

First Last

Are you the utility account holder?*

Yes

Utility Account Number (if known)

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?*

Your Email*

Enter Email Confirm Email

Your Phone*

Do you use a different postal mail address?*

Yes

Mailing Address*

Street Address City State ZIP Code

Notes

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

Applicant Release*

I have read and understand this application, and I agree with 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.

Ukiah Induction Range Rebate

Before you get started

Rebate Amounts