All account information will be kept confidential between the Cooperative, Associated Electric Cooperative and agents acting on their behalf.
The Cooperative will refund 50%, up to $500, of the cost of the insulation ONLY when done in conjunction with the installation of a ground source heat pump. This form is for insulation improvements only.
Installed Insulation Measures:
Please list each measure made and the amount paid. This is for insulation improvements only.
The cooperative is not responsible if your contractor, retailer, builder or other party provides you with inaccurate information about the amount or conditions of the actual rebate. The cooperative will not rebate equipment that has been mislabeled, misrepresented or previously owned. The cooperative reserves the right to inspect the equipment and its installation at the address indicated on the front of this application. The cooperative is not responsible for any lost, late, stolen, ineligible, misdirected or postage due mail. All completed applications will become the property of the cooperative. Rebate qualifications and amounts are subject to change at the cooperative’s discretion and the program may end at any time without notice.
Please accept before proceeding.
E-Signature must exactly match name as it appears above.