Air Source Heat Pump Rebate Agreement

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Homeowner Name(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Site Address(Required)

Same as Mailing Address

Street Address Address Line 2 City State ZIP Code

REC Account Number(Required)

Requirements and Specifications

This measure is a conversion from an electric forced-air furnace to a high-efficiency ducted air-source heat pump

Air Source Heat Pump must be AHRI-tested and certified; manufacturer claims of “equivalent to AHRI-certified equipment” will not be accepted. Rated as having a HSPF2 and a SEER2 efficiency rating that meets federal minimum standards according to the AHRI certificate. HSPF2 and SEER2 apply to units manufactured after January 1, 2023 based on DOE’s change to the national standard testing methodology. If a unit was manufactured before January 1, 2023, it must meet the current federal minimum efficiency standard for HSPF and SEER per the AHRI certificate.

Applicable home types with whole-home centrally ducted systems:

Existing construction single-family;

Existing manufactured homes (including new manufactured homes once on site for occupancy).

Homes with less than 4,500 square feet of heated floor area may qualify for only one heat pump payment. This may be one ducted or one ductless heat pump (DHP) but not both. There are two exceptions to this rule:

• When the home has two entirely separate duct systems, the home is eligible for two ASHP payments but no more, even if there are more than two duct systems;

• When the home’s ductwork has not been extended to an addition, a DHP may be installed to service the area of the home that does not contain ducts. In this scenario, the home may be eligible for a ducted ASHP and one DHP payment.

Homes with greater than 4,500 square feet of heated floor area qualify for up to two heat pump measures and no more provided all other program requirements are met.

Manufacturer(Required)

Model Number(Required)

Heat Pump Size (in Tons)(Required)

Installed HSPF2(Required)

Installed SEER2(Required)

Installer name:(Required)

Building Size & Type

Total Conditioned Square Feet(Required)

New Construction?(Required)

Yes

Date System Energized(Required)

Existing Heat Source(Required)

Do you have a backup heating source?(Required)

Yes

Back-up Heating System

Heating System Replaced(Required)

Strip Heat in Plenum (KiloWatts)(Required)

Strip Heat in Plenum (Btu)(Required)

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Submeter Installed

Yes

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Date Submeter Installed(Required)

Information Required to Complete Installation Agreement for Incentives

A copy of the sales invoice and the AHRI certificate must be included with this agreement.

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Member Electronic Signature (Full Name)(Required)

Air Source Heat Pump Rebate Agreement

Requirements and Specifications

Building Size & Type

Back-up Heating System

Information Required to Complete Installation Agreement for Incentives

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