Slab Insulation Rebate Application

Fill out the form below online or click here to download the form

** If you choose to download the form, please fill out, scan and send to ahout@missionvalleypower.org

Slab Insulation Rebate Form

Conservation Rebate form for adding Energy Efficient Slab Insulation to your Home

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Date(Required)

Account #(Required)

Location Number

Name(Required)

First Last

Phone Number:(Required)

Phone # of Residence if different:

Email Address:

Mailing Address(Required)

Street Address City State ZIP Code

Install Address(Required)

Street Address City State ZIP Code

New Construction *(Required)

Yes

Renovation Type:

Remodel

Addition

Main Type of Heat Source *:(Required)

Electric

Fuel Oil

Propane

Wood

Other

Other?(Required)

* To be eligible for a billing credit the home's main heat source must be some form of electric resistance heat. Non-electric secondary heat sources are acceptable.

Sq. Ft. of Slab Insulation:(Required)

Rebate Total @ $.50 per SF

$500.00 Maximum Rebate per single family unit.

Please enter a number less than or equal to 500.

Must include a copy of insulation receipt of purchase including R-Values & square footage of insulation.(Required)

Drop files here or

Accepted file types: jpg, pdf, jpeg, gif, png, tiff, Max. file size: 10 MB.

Pictures of the installed insulation before AND after the concrete is poured.(Required)

Drop files here or

Accepted file types: jpg, jpeg, tiff, gif, png, pdf, Max. file size: 50 MB.

I certify that this slab insulation was purchased and installed at the above address. I will allow a representative of Mission Valley Power and/or Bonneville Power Administration to verify installation of the slab insulation.

Customer Signature:(Required)

Please allow up to 8 weeks for the billing credit to be issued to your account after submitting your completed application and all required documentation.

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