Churchville, NY · Monroe County
Insulation Program Rebate Application
Residential customers of participating municipal electric utilities use this IEEP application to request an incentive for eligible insulation and air-sealing work.
At a glance
- Issued by
- City of Churchville · Churchville, Monroe County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- churchvilleny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Independent Energy Efficiency Program (IEEP) form is for residential customers of participating municipal electric utilities seeking an incentive for eligible insulation or air-sealing work. IEEP pre-approval is required before work begins. The form asks for customer and contractor information, project costs, and a signed agreement; the completed rebate request also requires proof of payment and utility-bill documentation.
Who needs it
Residential customers of participating municipal electric utilities who plan eligible insulation or air-sealing work and want to request an IEEP incentive need this form.
How to submit it
For pre-approval, submit the completed form, an electric bill copy, and a detailed contractor scope of work. For the rebate, mail the completed form and required documents to IEEP Rebate Program, P.O. Box 2489, Syracuse, NY 13220-2489, or email [email protected].
About notarization
This document is signed and dated without a notary; the form does not request a notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the IEEP Insulation Program form.
- 2
Complete The Form
Fill in the customer and contractor information and sign and date the form.
- 3
Gather Required Documents
For pre-approval, include an electric bill and detailed contractor scope of work. For the rebate, include the pre-approval number, proof of payment, and matching utility bill.
- 4
Submit To IEEP
Send pre-approval materials to IEEP; after work is complete, email or mail the rebate request to the contact listed on the form.
Frequently asked questions
- Do I need a notary for the Insulation Program Rebate Application?
- No. The form asks the customer to sign and date it, and it does not request a notarized or sworn attachment.
- How do I submit the Insulation Program Rebate Application?
- Send pre-approval materials to IEEP. After the work is complete, email the rebate request to [email protected] or mail it to IEEP Rebate Program, P.O. Box 2489, Syracuse, NY 13220-2489.
- What documents are required for pre-approval?
- Submit the completed form, a copy of your electric bill, and a detailed scope of work from your selected insulation contractor that lists the work and costs separately.
- What must I include with the completed rebate request?
- Include the signed form and IEEP pre-approval number, a dated invoice or installation contract showing proof of payment, and a copy of the municipal utility bill matching the work address.