Fillable City of Banning Recycled refrigerator/freezer Rebate Application (City of Banning)

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City of Banning Recycled refrigerator/freezer Rebate Application (City of Banning)

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BROWSE CITY OF BANNING (CA) FORMS

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First Name Last Name Initial
Address City State Zip Code
Day Time Phone Electric Account Number
Refrigerator Pick Up Date Name of Business Picking up Refrigerator
I certify that the above statements, along with the documentation on the invoice, are true and correct to
the best of my knowledge. I understand that I will be reimbursed any fees paid, up to $90.00, after
my application is approved. Fee reimbursements will be credited to customer’s electric account. I understand
that if any false statements are made on any invoices, application or other documentation, my application
will be rejected, no reimbursement will be made, and I will not be allowed to reapply again for the
Recycled Refrigerator rebate.
__________________
____________________________________________
Applicant Signature
Date
*Program guidelines limit one appliance pickup and one rebate per customer account per calendar year.
For office use only:
Cycle_____________
__________________
Date
__________________
Authorization for payment: ______________
______________________________________ Signature
(Public Benefits Coordinator)
______________________________________ Signature
(Public Benefits Program Manager)
Date
City of Banning, Public Benefits, 176 E. Lincoln St., Banning, CA 92220 (951) 922-3260 Banningca.gov
Email: PublicBenefits@banningca.gov
City of Banning
Recycled refrigerator/freezer
Rebate Application
Page 1 of 2
Email Address
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Revised 9/24/2019
City of Banning Public Benefits Program Guidelines
• Refrigerator/Freezer Recycling Incentives Residential
Program Description:
This program is designed to provide monetary incentives for the recycling of operating refrigerators
and/or stand-alone freezers that are old and inefficient. The refrigerators and stand-
alone freezers are picked up and transported to a recycling facility for processing.
• This program is available to the City of Banning residential electric customers.
• Customers will be reimbursed any fees paid to the recycler up to $90.00.
• Fee reimbursements will be credited to customer’s electric account.
• To qualify for the fee reimbursement, the operating refrigerator or freezer must be 12 to 28 cubic
feet in size.
• The limit is one appliance pickup, and one rebate per customer account per calendar year.
• The program is being offered to provide energy savings to participating electric customers,
as well as to the City of Banning Electric Utility.
• A Freon certified specialist, approved by the City of Banning, must do the removal.
• Following the removal of the Recycled Refrigerator/Freezer, 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 invoice, or receipt, must be attached to the application.
• Reimbursement will be issued within 6 to 8 weeks after verification of submitted paperwork.
• $90.00 Reimbursement Fee Program will continue provided funds are available.
• Call A-1 Appliance Center 951-849-9029 to schedule an appointment.
• Visit our website at: Banningca.gov
Page 2 of 2
Program Guidelines:
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City of Banning Recycled refrigeratorfreezer Rebate Application (City of Banning)

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Completed 21 September 2021

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