Energy - 2025 Home Energy Rebates Contractor Interest Form

Name/Company Name*
Email*
example@example.com
Phone Number (Optional)
Format: (000) 000-0000.
County of Residence*
Which counties do you serve? Check all that apply*

BarbourBerkeleyBooneBraxtonBrookeCabellCalhounClayDoddridgeFayetteGilmerGrantGreenbrierHampshireHancockHardyHarrisonJacksonJeffersonKanawhaLewisLincolnLoganMarionMarshallMasonMcDowellMercerMineralMingoMonongaliaMonroeMorganNicholasOhioPendletonPleasantsPocahontasPrestonPutnamRaleighRandolphRitchieRoaneSummersTaylorTuckerTylerUpshurWayneWebsterWetzelWirtWoodWyoming
What services can you provide based on your certification(s)?(Check all that apply.)*

Home assessmentHeat pump (HVAC)Whole home electrificationWeatherizationInsulation and air sealingVentilationElectric wiringGas upgrades: gas furnace, gas boiler, gas water heater with and without weatherizationInstallation of electric heat pump water heaterInstallation of electric heat pump for space heating and coolingInstallation of electric heat pump clothes dryerInstallation of electric load services centerInstallation of stove, cooktop, range or ovenQuality control
Any questions or comments?
Should be Empty: