Greene, NY · Chenango County

No notary required

Heat Pump Rebate Application

Residential and commercial electric customers use this application to request a rebate for qualifying heat pump equipment installed in an existing building.

At a glance

Issued by
City of Greene · Greene, Chenango County, New York
Notarization
Not required: file this form without a notary.
Official source
nygreene.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application requests a rebate for qualifying high-efficiency heat pump equipment installed in an existing building. The customer completes both sides and submits the application within six months of purchase, with a dated sales receipt, recent electric bill, and equipment documentation. It asks for customer and installation details, building and heating information, equipment specifications, and the requested rebate amount.

Who needs it

Residential or 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 it with a utility bill payment.

About notarization

This document is signed and dated by the customer without a notary; the signer agrees to the terms and conditions, and no notarized attachment or related step is listed.

How to submit this form

  1. 1

    Download The Application

    Download the Heat Pump Rebate Application for Greene.

  2. 2

    Complete Both Sides

    Fill out both sides with customer, building, installation, utility, and equipment information, then sign and date the form.

  3. 3

    Gather Required Documents

    Include a dated sales receipt, recent electric bill, and the applicable equipment certification and eligibility documentation.

  4. 4

    Submit To IEEP

    Mail the form and documents to IEEP in Syracuse or email them to [email protected] within six months of purchase.

Frequently asked questions

Do I need a notary for the Heat Pump Rebate Application?
No. The customer signs and dates the application; no notarized attachment or related step is listed.
How do I submit the Heat Pump Rebate Application?
Mail the completed form and required documents to IEEP in Syracuse, or email them to [email protected]. Do not send it with a utility bill payment.
What documents should I include with the application?
Include a copy of your dated sales receipt, your most recent electric bill, and the applicable equipment certificate or documentation specified on the form.
When must I submit the rebate application?
The form says rebate applications must be submitted within six months of the equipment purchase date.

Need something notarized?

This Heat Pump Rebate Application doesn’t need a notary, but if you have another Greene form that does, a commissioned online notary can help.