Fillable City of Banning Smart Thermostat Rebate Application First (City of Banning)

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City of Banning Smart Thermostat Rebate Application First (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 will be applied to the
customer’s electric account.
__________________
______________________________________
Applicant Signature
Date
For office use only:
City of Banning
Smart Thermostat
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
Email Address
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Revised 4/2/2020
Page 2 of 2
City of Banning Public Benefits Program Guidelines
• Qualifying Thermostat Models
Program Description:
This program provides monetary incentives for the purchase of a new Smart thermostat, or programmable
and Wifi-enabled thermostat. Monetary incentives will vary based on model purchased and retail price paid by
the customer.
Incentive Table for Purchase of programmable Thermostat
Eligible Products
Rebate Amount Effective
January 1, 2020
$100
(or amount equal to
purchase price if less
than $100)
$25
Program Guidelines:
• This program is available to the City of Banning residential electric customers.
• Following the purchase and installation of the new qualified thermostat purchase, complete and return
the application to: City of Banning, Public Benefits Department, 176 E. Lincoln Street, Banning, CA 92220 or
send Email to: PublicBenefits@banningca.gov.
• A copy of the dated sales receipt containing product description, make and model of the purchase must be
attached to the application.
• 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
**All other programmable, wifi-enabled models**
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City of Banning Smart Thermostat Rebate Application First (City of Banning)

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Completed 21 September 2021

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