Signature:
I acknowledge that Cleco and its representatives reserve the right to perform onsite quality
assurance inspections before, during and after the work is performed to verify rebate
eligibility. I understand that an AHRI certificate and customer service invoice containing the
model and serial numbers of all components installed must be submitted with this rebate
form and that all information must be submitted within 45 days of purchase date in order to
be eligible for the incentive. I also understand that the AHRI certificate can be found at
www.ahridirectory.org.
energyefficiency@cleco.com
For more information call: 1-833-373-6842
Homeowner’s Name
Air Conditioning
Heat Pump Rebate
Application form
Cleco Power Wise
™
Residential Equipment Rebate Program
Installation address
Cleco Meter # (Can be found on your bill in the Billing Detail section)
City Zip Code
Mailing StateMailing City
Daytime phone #
Mailing Zip Code
Size (in BTU or tons)Estimated SEER Approximate age
Parish
Mailing address (if different from install address)
Email
Contractor company name
Contractor phone #
Purchase date *
Condenser brand Condenser model
Information about Newly Installed HVAC System
Coil model # Air handler/furnace model
HSPF (heat pump only)
NOTE: if the Btuh are less than the minimum number of Btuh listed for each tonnage category, the
next lower incentive will apply. Units MUST have a minimum of 15 SEER to qualify for this rebate.
HSPF must be at least 9.0 to qualify
A minimum of 15 SEER and 12.5 EER is required in order to be eligible for this rebate.
Heating Btuh (heat pump only)
Size (tons) Cooling Btuh SEER Rating EER Rating
Heating type
(choose one)
Power Wise rebate available only for replacement unit.
Information about Old HVAC System
Heat Pump Gas
Replacement type
(choose one)
Replace on Burnout
Early Retirement
A/C or Heat Pump
(choose one)
A/C
Heat Pump
System type
(choose one)
Split
Mini Split
Packaged
Electric Resistance
Heating type
(choose one)
Heat Pump
Gas Electric Resistance
Program funding is limited and participation is on a first-come, first-served basis.
Offerings are subject to change without notice.
Documents may be submitted to either of the following:
Cleco Power Wise Program
1530 Dove Park Rd. | Mandeville, LA 70471
* All documentation must be submitted within 45 days of purchase date.
Required documentation
Please submit the following required documentation:
• Completed rebate form
• Customer service invoice
containing model and serial numbers
• AHRI certificate
* All documentation must
be submitted within 45
days of purchase date.
SEER
0 -
14,999
Cooling
Btuh
15,000 -
20,999
Cooling
Btuh
21,000 -
26,999
Cooling
Btuh
27,000 -
32,999
Cooling
Btuh
33,000 -
38,999
Cooling
Btuh
39,000 -
44,999
Cooling
Btuh
45,000 -
56,999
Cooling
Btuh
57,000 -
64,999
Cooling
Btuh
15.00-
15.99
$150 $225 $300 $375 $450 $525 $600 $750
16.00-
16.99
$200 $300 $400 $500 $600 $700 $800 $1,000
17.00-
17.99
$250 $375 $500 $625 $750 $875 $1,000 $1,200
18.00+
$300 $450 $600 $750 $900 $1,050 $1,200 $1,500
SEER
0 -
14,999
Cooling
Btuh
15,000 -
20,999
Cooling
Btuh
21,000 -
26,999
Cooling
Btuh
27,000 -
32,999
Cooling
Btuh
33,000 -
38,999
Cooling
Btuh
39,000 -
44,999
Cooling
Btuh
45,000 -
56,999
Cooling
Btuh
57,000 -
64,999
Cooling
Btuh
15.00-
15.99
$50 $75 $100 $125 $150 $175 $200 $225
16.00-
16.99
$75 $100 $150 $175 $200 $250 $300 $350
17.00-
17.99
$100 $125 $175 $225 $250 $300 $350 $400
18.00+
$125 $150 $200 $250 $300 $350 $400 $450
Air Conditioners
Heat Pumps
