2021
Residential heat pump
water heater rebate form
WE ARE MASS SAVE®:
2021 residential heat pump water heater rebate form
Save with rebates on heat pump water heater equipment purchased and installed between January 1, 2021 and December 31, 2021.
Rebate not to exceed purchase price. Limit three (3) rebates per electric meter.
STANDARD HEAT PUMP WATER HEATER REBATES
Equipment Type Capacity UEF
1
Rebate Amount
Heat Pump Water Heater
> 55 gallons
> 2.7 (switching from electric heater)
$150
< 55 gallons
> 2.0 (switching from electric heater)
$600
< 55 gallons
> 2.0 (switching from oil heater)
$600
< 55 gallons
> 2.0 (switching from propane heater)
$400
1
UEF - Uniform Energy Factor
Please see Terms & Conditions for full requirements. Cannot be combined with other rebate for same equipment.
HEAT PUMP WATER HEATER
A heat pump water heater works much like an air conditioner or a refrigerator, moving heat from the surrounding air
into the hot water tank. Most heat pump water heaters include an integrated hot water tank and a “hybrid” mode,
allowing them to run as standard electric water heaters if necessary. Before installation, consider the following:
Location: For a heat pump water heater to run eciently, the space should generally stay above 50°F.
Space: Since heat pumps remove heat from ambient air, there must be a considerable volume of air available.
Most manufacturers recommend about 750 cubic feet, which means that closets (even those with louvered doors)
are generally not appropriate locations for heat pump water heaters.
NEXT STEPS
1. Work with a licensed plumber to install a qualifying product. Equipment must be replacing an existing residential electric,
propane or oil storage tank or tankless water heater with the same fuel type. New construction is also eligible (gas
replacement not eligible).
2. Review the 2021 residential heat pump water heater rebate form for step-by-step instructions detailing how to participate.
3. Interested in 0% financing?
Apply for a Mass Save® HEAT Loan prior to installing your equipment. Learn more at MassSave.com/HEATLoan
4. Oers valid only for residential electric customers in MA where the Mass Save Electric Heating and Cooling
Program is oered by Cape Light Compact, Eversource, National Grid and Unitil. Municipal electric customers
are NOT eligible.
5. Apply for a rebate by submitting all required documentation online at MassSave.com/Rebates or by mail to
Mass Save Residential Heating & Cooling Program
P.O. Box 2528
Manchester, CT 06045
FOR ADDITIONAL INFORMATION, VISIT MASSSAVE.COM/REBATES OR CALL 800-232-0672.
WE ARE MASS SAVE®:
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_______________________________________________
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2021 residential heat pump water heater rebate form
1. To receive your rebate faster, submit online at MassSave.com/Rebates
2. By mail, send all required documentation to Mass Save Residential Heating & Cooling Program, P.O. Box 2528, Manchester, CT 06045
REQUIRED DOCUMENTS*
1. *Completed and signed application. 2. *Copy of your most recent electric utility bill. 3. *Contractor’s invoice including:
*Equipment Make *Model Number and Size *Installation Date and Address *Total Install Cost and Proof of Payment *Contractor Information
Note: Completed rebate application and required documentation must be submitted by January 31, 2022. Rebate processing time is typically less when submitting online.
*Required Fields/Documents
CUSTOMER INFORMATION (FILL CIRCLES COMPLETELY)
Residential Electric Utility or Energy Eciency Provider:* Cape Light Compact Eversource National Grid Unitil
Electric Account Number:* Is this property primarily occupied by the owner or a renter? Owner Renter
Installation Address:
(must match the residential electric account address)
City: State: ZIP Code:
Phone Number: Email:
Customer Signature: Date:
I certify that all information is correct to the best of my knowledge and that I adhere to all terms and conditions of this rebate.
MAILING ADDRESS FOR REBATE (IF DIFFERENT FROM ABOVE)
Payee Name: Phone Number: Email:
Address: City: State: ZIP Code:
NEW EQUIPMENT INSTALLED
(ALL SURVEY QUESTIONS AND FIELDS MUST BE FILLED OUT)
New Construction Replaced Electric Water Heater Previous Water Heater Fueled with Oil
Previous Water Heater Fueled with Propane
Heat Pump Water Heater
Install Date*
Manufacturer* Model Number* AHRI Reference #
Location of Equipment Installation: Basement Garage Attic Other
CONTRACTOR INFORMATION
Note: All contractor information contained in this section is required on the contractor’s invoice.
Company Name:* Contact Person:*
City:* State:* ZIP Code:*
Phone Number:* Email:*
Customer Signature: Date:
I certify that new equipment is replacing an existing electric, oil or propane storage tank water heater or is new construction. I certify that information is correct to the best of my knowledge,
and that I adhere to all terms and conditions of this rebate.
Please allow 6–8 weeks for processing. For more information, to confirm eligibility or to check the status of your rebate,
call 800-232-0672 or email ask@efi.org
FOR ADDITIONAL INFORMATION, VISIT MASSSAVE.COM/REBATES OR CALL 800-232-0672.
Account Holder Name:*
click to sign
signature
click to edit
click to sign
signature
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TERMS AND CONDITIONS
Equipment Requirements
Applicable only when replacing an existing residential electric, propane or
oil storage tank or tankless water heater. New construction is also eligible
(gas replacement not eligible). Heat pump water heater must be installed
by an MA licensed plumber and installed within the MA electric service
area of one of the participating sponsors, be UL listed, and installed
in accordance with the National Electric Code and manufacturer’s
specifications. Heat pump water heater units must be qualified, listed
with and certified by the Air Conditioning, Heating, and Refrigeration
Institute (AHRI), and meet the program UEF requirements. Must have a
Uniform Energy Factor (UEF) of at least 2.0 for 55 gallons or less and
at least 2.7 for larger than 55 gallons. UEF is the ratio of useful energy
output from a water heater to the total amount of energy delivered to the
water heater. The higher the UEF is, the more ecient the water heater.
Rebate amount not to exceed the cost of equipment (excluding sales tax
and all installation costs).
General Requirements
Application Form: This application must be filled out completely,
truthfully and accurately. The customer must date and submit the
completed application along with all required documentation for specific
rebates and/or incentives. By submitting the rebate application, the
customer agrees to abide by these Terms and Conditions.
Time Limit: Qualifying units for equipment rebate must be purchased and
installed between January 1, 2021, and December 31, 2021. Applications
must be postmarked by January 31, 2022. Program is subject to change
without prior notice, including rebates and incentive levels.
Payments: From the time the application is processed and approved,
please allow 6–8 weeks for payment. Payment processing will take longer
if information or documentation is missing from the application. If payee
information is dierent from account holder information and the electric
utility provider is National Grid, additional processing time will be needed
for payee verification.
Geographic Requirements: Oers valid only for residential electric
customers in MA where the Mass Save Electric Heating and Cooling
Program is oered by Cape Light Compact, Eversource, National Grid
and Unitil.
Rebate Limitations: This rebate may not be combined with any other
utility or energy eciency service provider oer for the same equipment.
This does not apply to the HEAT Loan financing program. Other, non-
Mass Save rebates or incentives may also be used. Rebate amount not
to exceed the cost of equipment (excluding sales tax and all installation
costs) and may be subject to change without notice. Equipment installed
in new construction is not eligible if incentives have already been
received through the Renovations and New Construction Path.
Proof of Purchase: A copy of the customer’s invoice itemizing the
purchased equipment must accompany each rebate application form.
The invoice must indicate the equipment make, model number and size,
installation date and address, total install cost and proof of payment.
Contractor Certification: Contractor certifies that installation and
services performed have been in accordance with all applicable
municipal, state and federal codes, standards and regulations, as well as
program requirements pertaining to the installed system.
Approval and Verification: The participating utility or energy eciency
service provider reserves the right to conduct field inspections to verify
installations.
Tax Liability: Sponsors will not be responsible for any tax liability
that may be imposed on the customer or contractor as a result of the
payment of rebates.
Endorsement: Sponsors do not endorse any particular manufacturer,
product, system design, or technology in promoting these oers.
Limitation of Liability: Sponsors and their rebate administrator’s liability
is limited to paying the rebate and incentive specified. Sponsors and their
rebate administrator are not liable for any consequential or incidental
damages or for any damages in tort connected with or resulting from
participation in these oers.
Warranties: SPONSORS DO NOT WARRANT THE PERFORMANCE OF
INSTALLED OR SERVICED EQUIPMENT, EXPRESSLY OR IMPLICITLY.
Program sponsors make no warranties or representations of any kind,
whether statutory, expressed, or implied, including, without limitations,
warranties or merchantability or fitness for a particular purpose regarding
the equipment or services provided by a manufacturer or vendor. Contact
your contractor for details regarding equipment performance and
warranties.
Electric Benefits: Other than the energy savings realized by customer,
customer agrees that program administrator has the unilateral right
to apply for any credits or payments resulting from the Program or
equipment. Such credits and payments include but are not limited to:
(a) ISO-NE capacity payments, (b) other electric or natural gas capacity
and avoided cost payments or credits, (c) environmental credits, and (d)
payments from demand response programs. Customer further agrees
Customer will not file for such payments or credits either directly or
indirectly, and will not consent to any other third party’s right to such
payments or credits. This right is irrevocable for the life of the equipment
unless the program administrator provides written consent.
WE ARE MASS SAVE®:
FOR ADDITIONAL INFORMATION, VISIT MASSSAVE.COM/REBATES OR CALL 800-232-0672.