Non-Residential Air Source Heat Pump Retrofit and Upgrade Rebate Application Asterisks (*) indicate required fields.MEMBER INFORMATIONAccount Number* Company Name* Contact Name* First Last Contact Phone*Contact Email* Installation Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code SITE INFORMATIONBusiness Type* Office Retail School K-12 Residential Care Assembly Grocery Food Service Hospital Warehouse PROJECT INFORMATIONHow many heat pumps are you installing?* 1 2 Heat Pump 1Project Type* HP Retrofit HP Upgrade For HP Retrofits, what was the primary heat source?* Electric Zonal Electric Forced Air Furnace For HP Upgrades, what was the primary heat source? Air Source Heat Pump N/A (New Construction or major renovation) Manufacturer* Model Number* Outdoor Unit Cooling Capacity (in tons)* Equipment Size (in tons)* AHRI Number* Heat Pump 2Project Type* HP Retrofit HP Upgrade For HP Retrofits, what was the primary heat source?* Electric Zonal Electric Forced Air Furnace For HP Upgrades, what was the primary heat source? Air Source Heat Pump N/A (New Construction or major renovation) Manufacturer* Model Number* Outdoor Unit Cooling Capacity (tons)* Equipment Size (In Tons)* AHRI Number*INSTALLATION INFORMATIONInstalled Cost (per attached invoice before rebate)*Order/Purchase Date (per attached invoice)* MM slash DD slash YYYY Date of Installation* MM slash DD slash YYYY REBATE PROGRAM GUIDELINESPlease click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts Product must be installed on a unitary system with a constant-speed supply fan. Split systems and rooftop units with variable speed fans are not eligible. Rebate(s) will not exceed 100% of total installed cost. To ensure availability of funds, project must be pre-approved.UPLOAD YOUR FINAL DOCUMENTSPlease upload the required final documents with your application: Final invoice (purchase date must be on or after October 1, 2019 to receive the current rebate amount) AHRI certificate * Drop files here or Select files Max. file size: 20 MB. Application NotesPlease insert any notes that you would like us to review with your application.SUBMIT YOUR APPLICATIONTerms and Conditions*By clicking "submit," the applicant acknowledges the following: Rebate offer(s) may be changed or discontinued at any time by Wasco Electric Cooperative (WEC). WEC disclaims any warranty, whether expressed or implied, regarding the energy efficient upgrade(s) listed on this application for any materials or labor associated with installation, maintenance, repair, or any energy savings associated with use. I understand that the energy efficient upgrade(s) must be installed to WEC specifications, and certify that I, or my contractor, have reviewed the specifications prior to beginning work. When selecting a contractor, I understand that it is the business owner’s responsibility to request proof of insurance and licensing that meets the statutes and rules of the Oregon State Construction Contractors Board. WEC strongly recommends validating qualifications before work begins. I understand the above and certify that I am a member of WEC, that the energy efficient upgrade(s) are installed at the address indicated, and that this address is within WEC service territory. I agree* Rebate Applications are due within six months of pre-approval to qualify. Allow 6 to 8 weeks for rebate processing after the receipt of all final paperwork. Call 888-883-9879 to learn about additional energy efficiency programs.