Residential Rebate Application for Air-Source Heat Pumps & Air-to-Water Heat Pumps

If you are a National Grid customer and natural gas is your primary heating fuel, do not use this form to apply for a heat pump rebate. Submit an application to Mass Save's Heat Pump Rebate Program instead.

CMLP rebates are not available for heat pumps installed in newly constructed homes or outbuildings.

Before beginning your rebate application:

review CMLP's Heat Pump Rebate Program Guidelines to ensure that your project is eligible for a rebate.
know the date of your completed or scheduled home energy assessment if your home was built before 2008.
have electronic copies of the following documents ready to upload:
- invoice from a heat pump installer showing:
  - installation address
  - installer company name
  - outdoor and indoor equipment model numbers
  - integrated control model numbers, if applicable.
- Whole-home heat pump verification form signed by you and your installer, if the heat pump system installed is sized to be capable of being the sole source of heating in the residence.

For help, contact CMLP Energy Specialist Pamela Cady at pcady@concordma.gov or 978-318-3149.

Name *

First Name Last Name

E-mail *

Phone Number *

Installer Company Name *

Installer Email *

example@example.com

Installer Phone Number *

Installation Address *

Previous Primary Heating Type *

Was the building built before 2008? *

Date of Completed or Scheduled Energy Assessment

An energy assessment within the last three years or scheduled within six months after project completion is required for projects involving homes built before 2008. If you may have had an audit through CMLP, but don't know the date, call Energy New England at 888-772-4142 or email solutions@ene.org for help. This field may be left blank for outbuildings, which are exempt from the energy assessment requirement.

Square Footage of Building *

Provide the square footage of the whole home, even if the heat pump is serving just part of it, such as a room or a floor. If the living unit is in a multi-unit building, provide the square footage of the living unit. If the heat pump is being installed in an outbuilding on the property, provide the square footage of the outbuilding. Need sq. ft. for your building? Go to https://gis.vgsi.com/concordma/Search.aspx

Heat Pump Rebates

Rebate not to exceed project cost. A customer is eligible for a maximum of $10,000 in air-source or air-to-water heat pump rebates or $15,000 in ground-source heat pump rebates per service address per calendar year for equipment installed in that calendar year. Review the "Heat Pump Rebate Amounts and Equipment Eligibility Criteria" section at Heat Pump Rebates for Your Home to ensure that your project meets eligibility criteria and any special requirements for the rebates below.

Equipment Type *

Type of Rebate Requested *

Note: An outbuilding is shown in the Outbuilding section of a property record in the Town of Concord’s online assessment database

How much of the building's heat will the new heat pump(s) provide? *

Note: Choose "90% or more (sole source)" only if the heat pump system is sized to meet at least 90% of the total heating load heat at the outdoor design temperature, per ACCA Manual J Design Conditions, throughout 100% of the building's square footage, as entered above.

Which heating type will provide the remainder of your heating needs?

Equipment Installed *

	AHRI Certified Reference #	AHRI Cooling Capacity BTUs	AHRI Cooling Capacity in Tons*
Heat Pump System 1
Heat Pump System 2
Heat Pump System 3
Heat Pump System 4

*Tons are calculated based on AHRI cooling capacity divided by 12,000 BTUs. Enter tons rounded to two decimal points. Example: 47,000 BTUs of cooling capacity=3.92 tons. Rebate amount is based on tons.

Integrated Control Model #

Switchover Temperature (°F)

Project Cost *

Installation Date *

The installation date is the date that the installation was completed, inclusive of any additional work needed in order for the project to pass Abode Energy Management's quality assurance check.

Please Note: The project electrician must obtain an electrical permit online prior to installation, and schedule an inspection by the Town's electrical inspector after the work is complete. If the project requires sheet metal ducting work that goes beyond minor repairs, a sheet metal permit must have been obtained, and an inspection scheduled. The project must pass all relevant inspections to be eligible for a rebate. More information about Town of Concord Building Department permits and inspections can be found in the Quality Assurance Section of CMLP's Heat Pump Rebates for Your Home page.

Electrical Inspection Approval *

Did this project have sheet metal duct work beyond minor repairs? Examples are installing new ducting, or replacing, changing, or significantly repairing existing ducting. *

Rebate Amount Requested *

If the rebate amount requested is $600 or more, would you prefer a bill credit or a check?

Any rebate under $600 is issued as a bill credit. If a customer requesting a check has been in arrears frequently in the past two years, CMLP may apply all or part of the rebate as a bill credit rather than as a check.

Is the rebate payment address the same as the installation address?

Yes No

Payment Address

Required Documents:

Invoice from Air-Source Heat Pump Installer *

Whole-Home Heat Pump Verification Form

Additional Comments (if any)

Identity of Submitter *

Acceptance of Terms and Conditions *

Click "Save" if you wish to continue working on the form later.

Click "Submit" to apply for a rebate.

Applications may be submitted up to 90 days after installation date.

Residential Heat Pump Rebate Application

Customer Information

Installer Information

Project Site Information

Heat Pump Rebates

Project Information

Permit Information

Payment Information