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HVAC Incentive Program Form

HVAC Incentive Program

UDWI IS OFFERING A 2024 RESIDENTIAL REBATE FOR QUALIFYING EQUIPMENT (GEOTHERMAL HEAT PUMPS AND AIR SOURCE, DUCTLESS MINI-SPLIT OR DUAL-FUEL HEAT PUMPS ONLY).

To qualify, you must occupy the home where equipment is installed year-round (12 months) and the unit must heat and cool the entire home unless otherwise stated.

Please provide the following documents to apply for possible rebates*:
-AHRI (Air conditioning, Heating and Refrigeration Institute) certificate for validation for all SEER and EER ratings. (This can be obtained from the installing heating and cooling dealer.)
-2024 HVAC Residential Rebate Application
– Proof of purchase (paid invoice or receipt)

Your application must be completed and signed, as well as submitted within 90 days of the installation date.

Member Name
Member Name
First
Last
Street Address
Street Address
City
State/Province
Zip/Postal

My signature below expressly indicates my understanding and agreement to the program rules and conditions and the following information is true and accurate.