Fillable City of Banning Energy Star Products Rebate Application (City of Banning)

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City of Banning Energy Star Products Rebate Application (City of Banning)

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Revised 4/2/2020
First Name Last Name Initial
Address City State Zip Code
Daytime Phone Electric Account Number
Purchase Date Installation Date Store Store Location
Make Model # Serial Number Description
Make Model # Serial Number Description
I understand and agree that the choice of improvements, the selection of dealers, the purchase of
items, and acceptance of materials used and worked performed, and payment thereof, is my responsibility. I
understand that the City of Banning Electric Utility does not endorse, recommend or make any representations
as to brands, products or dealers, nor does it guarantee material or workmanship. I also agree to allow The City
of Banning Public Utilities to access my premises for verification purposes. Rebates of $500.00 or less will
be applied to the customer’s electric account.
__________________
______________________________________
Applicant Signature
Date
For office use only:
City of Banning
Energy Star Products
Rebate Application
_____________________________
Date
_____________________________
Authorization for payment:___________________
Signature_____________________________________
(Public
Benefits
Coordinator)
Signature_____________________________________
(Public Benefits Program Manager)
Date
Audit Completed ______________________Date___________________Cycle____________
City of Banning, Public Benefits, 176 E. Lincoln St., Banning, CA 92220 (951) 922-3260 Banningca.gov
Email: PublicBenefits@banningca.gov
Page 1 of 2
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Revised 4/2/20
Page 2 of 2
City of Banning Public Benefits Program Guidelines
• Qualified ENERGY STAR Products Rebate
Program Description:
This program provides monetary incentives for the purchase of qualified new high efficiency Energy Star
rated products that use less electricity than standard units of comparable size. Energy Star is a voluntary
partnership between the U.S. Department of Energy, the U.S. Environmental Protection Agency, product
manufacturers, local utilities, and retailers. Partners help promote efficient products by labeling them with
the Energy Star logo and educating consumers about the benefits of energy efficiency.
Incentive Table for Purchase of Energy Star Rated Products
Table-1
Eligible Products Minimum Rating
Rebate Amount
Effective April 1, 2019
Qualified Products:
· Dishwasher
· Clothes Washer
· Room Air Conditioner
· Solar-Powered Attic Fan
· Ceiling Fan (2 fans maximum)
· Pool Pump Motors (Variable Speed)
· Thermostat (programable /wifi enabled)
All appliances must
be Energy Star rated
$50
$50
$25
$50 (limit 1)
$25 each (limit 2)
Up to 2 HP $100
Over 2.1 HP $200
Purchases of $100.00 or
more $25 each (limit 2)
Program Guidelines:
• This program is available to the City of Banning residential electric customers.
• There is a cap of $500 per customer account per calendar year for items in Table -1
• Product must be ENERGY STAR rated.
• Following the purchase and installation of the new qualified ENERGY STAR rated product, complete and
return the application to: City of Banning, Public Benefits Department, 176 E. Lincoln Street,
Banning, CA 92220 or Email to PublicBenefits@banningca.gov
• A copy of the dated sales receipt containing product description, make and model of the purchase, and a
copy of the yellow EnergyGuide tag, must be attached to the application. If the yellow energy guide tag is
not available, sufficient documentation must be provided to prove Energy Star compliance.
• The application and supporting documentation must be submitted within 180 days of purchasing the
product in order to qualify for a rebate.
• Rebates will be given to all qualified applicants submitting proper paperwork.
• Rebates will be paid to the electric customer of record only. The name on the invoice must match the
name on the electric customer account.
• Rebates will be issued within 6 to 8 weeks after verification of submitted paperwork.
• Rebates of $500.00 or less will be applied to the customer’s electric account.
• Program will continue provided funds are available.
• For more information visit our website at: Banningca.gov / Electric Utility / Programs & Rebates
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City of Banning Energy Star Products Rebate Application (City of Banning)

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Completed 21 September 2021

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