Brocton, NY · Chautauqua County
Insulation Program
Residential electric customers use this form to seek an IEEP incentive for eligible insulation and air-sealing work at an existing home.
What this form is
This form is used to request an Independent Energy Efficiency Program incentive for eligible insulation and air-sealing work in an existing home. Submit it for pre-approval before work begins, then submit the completed form and supporting documents after installation to receive the incentive. It asks for customer and contractor details, the electric account number, project costs, and the IEEP pre-approval number.
Who needs it
Residential customers of participating municipal electric utilities seeking an incentive for eligible insulation or air-sealing work need this form.
How to submit it
For pre-approval, submit the completed form, a copy of your electric bill, and the contractor’s detailed scope of work. After installation, mail the form and required documents to IEEP Rebate Program, P.O. Box 2489, Syracuse, New York 13220-2489, or email [email protected].
About notarization
This document is signed and dated without a notary; no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download the Form
Download the Insulation Program form for the IEEP incentive request.
- 2
Complete and Sign
Fill in the customer and contractor information, project details, and other requested fields, then sign and date the form.
- 3
Gather Supporting Documents
For pre-approval, include an electric bill and detailed contractor scope of work. After installation, include the pre-approval number, proof-of-payment document, and matching utility bill.
- 4
Submit to the IEEP
Send the form and required documents by mail to the listed IEEP address or email [email protected].
Frequently asked questions
- Do I need a notary for the Insulation Program form?
- No. The form asks the customer to sign and date it, and does not list a notarized attachment or sworn step.
- How do I submit the Insulation Program form?
- Send the form and required supporting documents to the IEEP by mail at the listed Syracuse address or by email to [email protected]. Do not send the rebate request to your electric utility.
- What is needed for pre-approval?
- Submit the completed form, a copy of your electric bill, and a detailed scope of work from your selected insulation contractor, with work and costs listed separately.
- What documents are needed after the work is complete?
- Submit the completed, signed form with your IEEP pre-approval number, a dated invoice or installation contract showing proof of payment, and a matching municipal utility electric bill.