Full Text
Updated 3.7.22 Page 1 of 2 Application From Your Utilities Bill: Office Use: ( ) Customer Account Number Coupon # You Live in an: 1) Apartment Condo/Town House House Mobile Home 2) You Own You Rent Name on Utility Account: Last / First Name Phone Number Contact Person: (If different than above) Last / First Name Phone Number Installation Address: Street Address / Unit Number City Zip Code Mailing Address: (If different than above) Street Address / Unit Number City Zip Code Email Address: Make Check Payable to: Name on the Utility Account Contact Person Applications must be submitted within 1 year of purchase. The following measures must meet requirements to qualify: Air duct repair/replacement; air purifiers (2 max); attic fans; fire resistant attic insulation; fire vents; exterior wall insulation; ceiling fans (3 max); central a.c., heat pumps, heat pump mini split (15 SEER+ and 12.5 EER+); dishwashers; refrigerators; room a.c. (2 max); smart thermostat (Wi-Fi enabled, 2 max); uninterruptible power supply; portable power station; variable speed pool pump motors; whole house fans; windows (window incentive worksheet required); window film; heat pump dyer and water heater; dusk to dawn security lights (2 max); and floor/box/window fans (2 max). Maximum one application per measure type per account service address every 5 years, unless approved by Anaheim Public Utilities. ENERGY EFFICIENT ITEM INFORMATION OFFICE USE Item Replacing Existing? Purchase Date Price Paid Brand Model Incentive Amount Energy/Water Factor Total Incentive Amount **PLEASE READ AND SIGN THE PROGRAM GUIDELINES ON THE FOLLOWING PAGE BEFORE SIGNING - BOTH DOCUMENTS ARE REQUIRED I certify that the information on this application is true and correct and that I have read, understand, and agree to the program guidelines on this application. Applicant’s Signature: Date: Mail the completed application, receipts, and supporting documentation to: Home Incentives Programs • 201 S Anaheim Blvd., Suite 801 • Anaheim, CA 92805 Questions? (714) 765-4250 FOR OFFICE USE: Application Received: Inspected on: Inspector’s Signature: Check Mailed on: Check No: Check Dated: ANAHEIM PUBLIC UTILITIES HOME INCENTIVES PROGRAMS ---PAGE BREAK--- Page 2 of 2 ANAHEIM PUBLIC UTILITIES HOME INCENTIVES PROGRAMS GUIDELINES Please read the following Terms and Conditions carefully before signing: 1. Residential incentives: Home Incentives Program provides customers with rebates to help lower the cost of investing in high efficiency products and measures. The incentive offer is limited to residential customers for residential use. The appliance must be installed in a residential dwelling within Anaheim Public Utilities (APU) service area. A residential dwelling is defined a single family home, condominium, apartment, or mobile home permanently located within APU service area. The dwelling must be fully constructed and occupied (no new construction). 2. Required documentation: This application and a paid sales receipt for each product must be returned to the Rebate Processing Center office listed on the bottom of the application. Online purchases require submittal of the delivery slip. To expedite your application, please upload a copy of your APU bill. Window rebates require submittal of a window incentive worksheet. 3. Limitations: In order to qualify for the Program, Applicant must be an APU electric service customer with any and all APU accounts in good standing. The incentive offer is on a first-come, first-service basis and is effective until funding is expended or the program is discontinued by APU. Maximum of one application per measure type per account service address every 5 years, unless approved by APU. The incentive amount will not exceed the purchase price. The incentive check will be mailed in approximately 30 days following application approval. 4. Installation verification: Applicant understands and agrees that APU or its representative may inspect the installed product for installation verification before the incentive is paid. 5. Delinquent accounts: Applicant agrees that any incentive may be credited towards any delinquent (as currently defined in the APU’s Rates, Rules and Regulations) utility bill(s) for which the Applicant is responsible whether the account(s) is open or closed. 6. Applicant understands APU may withhold payment of incentive until all of the conditions listed herein are met. 7. APU does not warrant, endorse, or assume liability for the quality, performance, or safety of the contractor and/or retailer or wholesaler. Performance of any product and acceptance of materials used is solely the applicants responsibility 8. Applicant is responsible for meeting all program requirements and for checking with state/county/city governments and homeowner’s association (if any) in the area regarding local conditions, restrictions, codes, ordinances, rules, and regulations prior to installation. 9. APPLICANT MUST SUBMIT APPLICATION WITHIN 1 YEAR OF PURCHASE OF THE PRODUCT. Applicant has read and understood the terms and conditions of the Home Incentives Programs (“Program”) as set forth herein, and you hereby agree to comply with these terms and conditions and certify that your information on your application is true and correct. Applicant further understands that the Program is a voluntary program subject to the California Public Records Act and that all your information, including your personal data, may be subject to public disclosure. Applicant’s Mail this signed programs guidelines sheet, along with the completed application, receipts, and supporting documentation to: Home Incentives Programs 201 S Anaheim Blvd., Suite 801 Anaheim, CA 92805 Questions? Please call us at (714) 765-4250