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2021 ELECTRIC HEAT PUMP WATER HEATER REBATE APPLICATION
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SIGNATURE: I certify:
o
I have completely filled out Sections A and C
o
I have read, understand, and agree to the terms and conditions Section B, #1
o
I have attached all support materials Section B, #3-6
o
All equipment has been installed at the address listed in Section A
CUSTOMER SIGNATURE__________________________________________________ Date_________________
SECTION A. CUSTOMER INFORMATION (please print)
Step 1:
Customer Name Account Number
Installation Address City State Zip Code
Mailing Address (if different from installation address) City State Zip Code
o
Home
o
Cell
o
Other:
Contact Phone Number (with area code) E-mail Address
Step 2:
o
Please apply rebate to my account.
o
Please send me a rebate check.
Rebates $75 and under will be applied to your account. If a box is not checked a bill credit will automatically be issued.
Step 3:
How did you hear about CONSERVE & SAVE
®
?
o
Billboard
o
Chamber of Commerce
o
Contractor
o
Newspaper
o
Radio
o
Retailer/Vendor
o
Social Media
o
TV
o
Utility Newsletter
o
Utility Representative
o
Utility Web Site
o
Other _______________________________________________
Step 4:
I am a: My building type is: I am a: My home/business is heated by: My water heating is:
o
Residential Customer
o
Single Family
o
Owner/Occupant
o
Electric
o
Electric
o
Commercial Customer
o
Multi- Family
o
Owner/Non-Occupant
o
Gas
o
Gas
buildings with 2 or more units
o
Renter
o
Don’t Know
o
Don’t Know
Allow 6-8 weeks
for processing.
Missing or incorrect
information will
increase the
processing time.
OFFICE USE ONLY o Gas o Electric o Water Total Rebate Amount:
Date Received__________________ Date Processed___________________
$
Appliance/Equipment ____________________________________________
ID____________________ Verified By____________________ FILE NAME:__________________________
MN
MS
MN
MS
click to sign
signature
click to edit
SECTION C. CONTRACTOR/RETAILER INFORMATION (please print)
Contractor’s/Retailer’s Name Contact Person Phone Number (with area code)
Installer’s Name (write SELF if customer installed)
Type of Appliance/Equipment Installed
Contractor’s/Retailer’s Name Contact Person Phone Number (with area code)
Installer’s Name (write SELF if customer installed)
Type of Appliance/Equipment Installed
SECTION B. REBATE APPLICATION CHECKLIST
Use this checklist to complete the steps to receive your rebates:
o
1. Read the following terms and conditions to determine if you are eligible for a rebate:
Only one service address per application.
Rebates are intended for customers, not contractors or builders.
The Utility reserves the right to apply rebates to past due accounts. Rebates $75 and under will be applied to your
account. Rebates will not exceed the purchase price.
Energy-efficient equipment must be connected to an electric service supplied by Austin Utilities, Owatonna Public Utilities,
or Rochester Public Utilities and is subject to inspection.
Purchase and install
NEW
products. Reconditioned, refurbished, or second-hand equipment is not eligible for a rebate.
Equipment installations must meet our Minimum Efficiency Requirements to qualify for a rebate. Air-Conditioning, Heating, and
Refrigeration
Institute (AHRI) and ENERGY STAR
®
standards are used. Please refer to the appliance, lighting, or HVAC rebates
sections of this form for requirements and reference sources. The Utility reserves the right to reject any rebate application
submitted as a result of work performed by a contractor who has failed to adhere to the terms and conditions established
for the rebate program. Contractors must be licensed if applicable.
Due to limited funding, this rebate offer can be withdrawn at any time without notice. Applications will be processed on
a first-come, first-served basis. All applications from this year’s purchases (2021) must be received by March 31, 2022.
Rebates can only be offered on equipment that is installed while funding is in effect. In the event our program is discontinued
due to depleted funds, we will not provide a rebate for items installed between the discontinued date and the end of that year
.
o 2. Complete the application, making sure to fill out all required sections in detail. Allow 6-8 weeks for processing. Missing or
incorrect information will increase the processing time.
o 3. Include a final, detailed copy of the original sales receipt, invoice, or picking slip showing the customer name, date of sale,
manufacturer name, model number, size, and date of installation. All HVAC equipment must have serial and model numbers
listed on the invoice.
o 4. Sign the application.
o 5.
Information contained in this rebate application may be shared with the Minnesota Department of Commerce and our co-op partners.
o 6. Mail completed forms and required documentation to your utility provider:
Austin Utilities Owatonna Public Utilities Rochester Public Utilities
Attn: Rebate Processing Attn: Rebate Processing Attn: Rebate Processing
1908 14th St NE PO Box 800 4000 E River Rd NE
Austin, MN 55912-4904 Owatonna, MN 55060-0800 Rochester, MN 55906-2813
507-433-8886 507-451-2480 507-280-1500
www.austinutilities.com www.owatonnautilities.com www.rpu.org
or email: rebates@austinutilities.com or email: rebates@owatonnautilities.com or email: rebates@rpu.org
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Heat Pump Water Heaters (HPWHs)
HPWHs transfer heat from the surrounding air to heat water. Because HPWHs move heat, rather than create heat, they can be
extremely energy-efficient when compared to electric resistance water heating. The evaporator vaporizes a refrigerant. A fan
moves the surrounding air and the refrigerant absorbs the air's heat. The heated refrigerant then moves to the compressor,
where pressure and temperature increase. The heated and compressed refrigerant runs through the condenser inside the
storage tank where the heat transfers to the water supply. Electric resistance elements operate as a back-up heat source
if hot water supplies are depleted and faster recovery is needed.
Considerations:
• Work with a licensed plumber to determine if a heat pump water heater is right for your home.
• For a heat pump water heater to run efficiently, the space should generally stay above 40 degrees Fahrenheit year round.
• Since heat pumps remove heat from the ambient air, there must be a considerable amount of air available in the space.
Most manufacturers recommend a minimum of 750 cubic feet, which means closets (even those with louvered doors) are
usually not appropriate locations for heat pump water heaters.
• Recommended clearances should be followed to ensure adequate air circulation.
• Visit www.energystar.gov/products/hot-water-heater-replacement-guide to learn more.
HEAT PUMP WATER HEATERS ENERGY STAR
®
Must replace an existing electric storage tank water heater or be installed in a new home.
H
eat pump water heaters that replace gas, propane, or other non-electric water heaters are not eligible.
Electric instantaneous (tankless) water heaters do not qualify.
REBATES FOR HOMES WITH ELECTRIC HEAT (not to exceed 50% of cost): $270 for 20-55 gallon heat pump
$60 for >55 gallon heat pump
REBATES FOR HOMES WITH NATURAL GAS HEAT (not to exceed 50% of cost): $400 for 20-55 gallon heat pump
$90 for >55 gallon heat pump
ENERGY STAR
®
qualified product list: www.energystar.gov/productfinder/product/certfiied-water-heaters/
Manufacturer’s Name: Model #:
Size in Gallons: Rated Uniform Energy Factor (from ENERGY STAR
®
qualified product list):
Number of Units Installed: Date of Installation: Water Heater Cost:
Why was this purchased? To replace:
o
no previous unit
o
failed unit
o
working unit
Primary method to HEAT your home:
o
Electric
o
Natural Gas/Other
OFFICE USE ONLY
Rebate Total: $_______________________
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2021 ELECTRIC HEAT PUMP WATER HEATERS
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PLEASE PRINT ON RECYCLED PAPER 0121
Thank you for purchasing new, efficient appliances and equipment
and for applying for a CONSERVE & SAVE
®
rebate!
When purchasing new items, continue to look for the Energy Star
®
, Energy Star
®
Most Efficient, and WaterSense
®
labels.
By doing so, you will save energy, water, and money while ensuring product performance.
Austin, Owatonna, and Rochester Public Utilities may also offer a CONSERVE & SAVE
®
rebate on your purchase!
For a complete list of available rebates, amounts, and to download rebate applications with
minimum efficiency requirements and complete terms and conditions, visit your utility’s website:
www.austinutilities.com www.owatonnautilities.com www.rpu.org