Fillable Form 1: City of Banning Air Conditioner Tune (City of Banning)

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Form 1: City of Banning Air Conditioner Tune (City of Banning)

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The Form 1: City of Banning Air Conditioner Tune (City of Banning) form is 1 page long and contains:

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  • 2 check-boxes
  • 10 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Banning

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If you have any questions, contact Public Benefits at (951) 922-3260
Name (As
it appears on Utility Bill) Banning Electric Account # (Required)
CUSTOMER INFORMATION
Address (phy
sical location)
Mailing Address (if different from street address)
REBATE
CUSTOMER: PLEASE SIGN
1
2
3
4
B
y si
gning below, I certify that I have read, understand and agree to abide by the terms and
conditions herein and that the information on this rebate form and on the attached supporting
documents is accurate and complete. In addition, I certify that the Air Conditioning contractor
used to perform the Tune Up holds the appropriate license.
AUTHORIZED SIGNATURE:_______________________________ DATE: _________
FOR B
ANNING ELECTRIC UTILITY USE ONLY
Reviewed By: ______________________________ Date: ____________________
Total Rebate Amount: _______________________ Cycle: ___________________
Revised 8-9-2017
Phone Number Make
& Model # ____________________________
( ) A/C Unit Size (tons) _________ A/C Age ________
The City of Banning Electric Utility will provide a rebate of
$50.
00 for a qualifying Tune Up on residential Air Conditioners.
*Rebate will not exceed the price the customer paid for the Tune Up
SUPPORTING DOCUMENTATION
Pro
of of Sales Receipt showing A/C Tune Up was Paid in Full
Copy of the Air Conditioner Tune-Up Checklist completed by the
vendor, to include all minimum checklist requirements. (see pg. 2)
City of Banning
Air Conditioner Tune Up
Rebate Application
Email Address
click to sign
signature
click to edit
2
• A/C Unit must be 5 tons or less.
• Customer MUST have an active residential electric account
• One Tune Up per A/C unit, per year. (up to 2 units per home)
Minimum Checklist requirements:
Inspect and clean Condenser and Evaporator coils, Lubricate fan motor and
blower motor (if needed), check operating pressure, inspect for leaks, and
clean condensation line. Test capacitor and relay. Check all electrical
connections and wiring, verify correct voltage and amperage. Clean or
replace filter. Verify thermostat is operating properly. Test for proper airflow.
TERMS AND CONDITIONS
ELIGIBILITY
• I understand that I must be a Banning Electric Utility customer and I must have an active residen-
tial Banning Electric Account.
• If I am a tenant, I am responsible for obtaining the property owner’s permission to have a tune up
completed on the A/C unit. My signature on this application indicates that I have obtained this
permission
• Rebates are on a first come first serve basis, the program will end when all approved funding has
been spent.
APPLICATION
• This signed and dated application, copies of sales receipt and Tune up checklist must be sent to
Banning Electric Utility postmarked no later than 180 days from the date of tune up.
• I am responsible for filling out the application completely, truthfully and accurately.
• I understand that Banning Electric Utility is not responsible for items lost or destroyed in the mail/
transit.
PROCESSING
• Processing of the rebate is conditional that all supporting documentation be submitted with the
application. Delays in proper documentation will delay the rebate processing.
• The rebate will be applied as a credit to the customer’s electric account within 6 to 8 weeks of
receiving completed application and all supporting documentation.
MAIL APPLICATION WITH SUPPORTING DOCUMENTS
TO: CITY OF BANNING, PUBLIC BENEFITS
176 E. LINCOLN STREET
BANNING, CA 92220
Email to PublicBenefits@banningca.gov
REBATE QUALIFICATIONS
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Form 1: City of Banning Air Conditioner Tune (City of Banning)

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Completed 21 September 2021

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