Get NY IEEP Fairport Appliance Advantage Rebate 2020-2024

To receive your rebate without delay fill out both sides of this form completely and mail it to the address below along with A copy of your dated sales receipt A copy of your recent Fairport Electric bill Sufficient ENERGY STAR product documentation is required Mail to IEEP P. IEEP Fairport Appliance Advantage Rebate The Fairport Municipal Commission FMC and the Independent Energy Efficiency Program IEEP are sponsoring this program to encourage Fairport residential electric customers to upgrade their appliances to ENERGY STAR labeled appliances. O. Box 2489 Syracuse New York 13220-2489 Please do not send this form with your utility bill payment Customer Information Name Street Address City State Zip Code Contact Name Home Phone Work Phone Fairport Electric Account Number General Terms and Conditions The IEEP may choose to inspect locations to verify satisfactory completion of the projects and to measure and verify energy savings. Such inspections will be made at a time convenient to the applicant with advanced notice to the applicant. Misrepresentation of installation location or measure eligibility may result in forfeiture of the incentive award. Customers are responsible for any such tax implications associated with reimbursement. The Fairport Municipal Commission FMC and the IEEP are not responsible for any tax consequences associated with any payments. The FMC and IEEP assumes no responsibility for performance of equipment and equipment warranty. The equipment must be purchased new and installed within the FMC electric service territory within six months of receipt purchase date. The customer relieves the FMC and IEEP of any and all liability associated with this project. The IEEP reserves the right in its sole discretion to terminate or modify this program at any time. I the undersigned agree to the terms and conditions of this document. I understand that I am fully liable for any tax consequence that may arise from this reimbursement. Customer Signature Date Mo/Day/Year IEEP P. O. Box 2489 Syracuse NY 13220-2489 Effective Date 1/1/2011 Qualifying Measures Worksheet Your electric utility has qualified the energy-saving appliances listed on this page for Appliance Advantage incentives. For the appliance to be eligible it must meet the minimum qualifying standards indicated in the chart. For projects up to 500 pre-approval is not required* Projects greater than 500 require pre-approval* If you have any questions or you require pre-approval please contact the IEEP at 800 263-0960. Please ensure that the product has the Energy Star label* To find out more about ENERGY STAR appliances or to inquire about qualifying products visit the ENERGY STAR website www. energystar. gov Approved Measure Efficiency Criteria documentation required Incentive Description of Equipment Installed Amount Manufaturer Model Air Conditioner Central Air and Heat Pumps ENERGY STAR labeled 50/ton Window Ceiling Fan Clothes Washer Dehumidifier Dishwasher Freezer Programmable Thermostat Refrigerator Qty.