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

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City of Banning Energy Star Refrigerator 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 Email Address
Electric Account Number
Store Purchase Date Store Location Installation Date
Make Model # Serial No Ice Maker Cubic Feet
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 account.
__________________ ____________________________________________
Applicant Signature
Date
For office use only: Freezer Location:
City of Banning
Energy Star Refrigerator
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
• ENERGY STAR Refrigerator Purchase Rebate-Residential
Program Description:
This program provides monetary incentives for the purchase of new high efficiency Energy Star rated
refrigerators that use less electricity than units of comparable size. Proposed incentives based on the
efficiency and size of the appliance range from $50.00 to $150.00.
Incentive Table for Purchase of Energy Star Rated Refrigerators
Table-1
Qualified Product Rating Rebate Amount
Refrigerator, w/recycling of old unit at
the same
time*
$150
Refrigerator, w/out recycling old unit
$50
*Proof of recycling of old refrigerator must be provided with application.
Program Guidelines:
•
This program is available to the City of Banning residential electric customers.
•
Refrigerator must be ENERGY STAR rated.
•
Proof of recycling of old refrigerator must be provided with application.
•
The limit is one Refrigerator Rebate per customer account. (One Refrigerator Rebate every 5 years).
•
Following the purchase and installation of the new ENERGY STAR rated refrigerator, 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
•
The application and supporting documentation must be submitted within 180 days of purchasing the
refrigerator in order to qualify for a rebate.
•
A copy of the dated sales receipt, along with a copy of the yellow EnergyGuide tag, must be attached to the
application.
•
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 given to all qualified applicants submitting proper paperwork.
•
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.
•
A home inspection will be conducted within 24 months after the application has been processed.
Disparities discovered during the home audit may result in a rebate reversal.
•
Program will continue provided funds are available.
•
Visit our website at: Banningca.gov
At least 14 cubic ft.
Energy Star Rated
At least 14 cubic ft.
Energy Star Rated
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City of Banning Energy Star Refrigerator Rebate Application (City of Banning)

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Completed 21 September 2021

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