Brocton, NY · Chautauqua County
Heat Pump Rebate Application
Residential and commercial electric customers use this application to request a rebate for qualifying high-efficiency heat pump equipment installed in an existing building.
What this form is
This application requests a rebate for qualifying heat pumps and related equipment installed in an existing building. Customers provide contact, building, utility, contractor, and equipment details, select qualifying measures, and agree to the program terms. The form says applications must be submitted within six months of purchase; rebates over $1,250 require pre-approval.
Who needs it
Residential and commercial electric customers replacing equipment in an existing building with qualifying heat pump equipment can use this application.
How to submit it
Mail the completed form and required documents to IEEP, P.O. Box 2489, Syracuse, New York 13220-2489, or email them to [email protected]. Do not send the form with a utility bill payment.
About notarization
This document is signed and dated by the customer without a notary; the form does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Application
Download the Heat Pump Rebate Application PDF.
- 2
Complete The Form
Fill out both sides with customer, building, utility, contractor, and equipment information, then sign and date it.
- 3
Gather Required Documents
Attach a dated sales receipt, your most recent electric bill, and the required equipment documentation.
- 4
Submit To IEEP
Mail the application and attachments to IEEP in Syracuse, New York, or email them to [email protected].
Frequently asked questions
- Do I need a notary for the Heat Pump Rebate Application?
- No. The customer signs and dates the application; it does not identify any attachment or related step that must be notarized or sworn.
- How do I submit the Heat Pump Rebate Application?
- Mail the completed form and required documents to IEEP in Syracuse, New York, or email them to [email protected]. Do not include it with a utility bill payment.
- What documents must accompany the rebate application?
- Include a dated sales receipt, your most recent electric bill, and the applicable equipment documentation, such as an AHRI certificate and product-list documentation or ENERGY STAR certification.
- When must I submit the rebate application?
- The application must be submitted within six months of the equipment purchase date. Rebate requests over $1,250 require IEEP pre-approval.