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Please indicate ARI Reference # on application - lipower

Please indicate ARI Reference # on application - lipower 2025

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The document is a Customer/Contractor Rebate Application Form for the 2013 LIPA Cool Homes Program, which offers rebates for the installation of energy-efficient central air conditioners and heat pumps. It outlines the application process, eligibility requirements, required documentation, and potential incentives for both customers and contractors. Customers must submit their applications with necessary forms and documents to receive rebates based on the efficiency of their installed units.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Customer Information section. Enter your name, LIPA Electric Account Number, installation address, and contact details accurately.
Indicate your preferred rebate method by checking one of the options provided: credited to your LIPA account, sent as a check, or assigned to your contractor.
Complete the Contractor Information section with the contractor's name, contact number, and address. Ensure they sign and date this section.
In the Equipment Information section, provide details for each unit installed. Include size, SEER rating, and any required reservation numbers.
Review all sections for completeness. Make sure both customer and contractor signatures are present before submitting.

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