The Solar Thermal Program provides rebates to residential customers of West Penn Power for the installation of high-efﬁciency solar thermal equipment. This equipment must be installed by a participating contractor and must meet allprogram requirements.
Please complete this application and mail it to the address provided below along with:
1) a dated sales receipt from a participating contractor, and2) a copy of the Solar Rating and Certiﬁcation Corporation (SRCC) certiﬁcate indicating model numberand OG-100 certiﬁcation
(as found on utility bill)
West Penn Poweraccount no.:Installation address:City:State:Zip code:Email address:
(Your email address will be used only for transactional communications regarding energy efﬁciency programs)
Home phone:Work phone:Date installed:Contractor name:Contractor phone number:How did you hear about this program: Bill Insert Contractor Direct Mail Email EventFamily/Neighbor/Friend Online Advertising Radio Printwww.energysavePA.com West Penn Power Employee Type of residence:
Single Family DuplexIs this system installed as part of a new home construction project? Yes NoIs natural gas available at this residence? Yes No
General Terms and Conditions
1. Products and services must be purchased from January 1, 2012 to May 31, 2013. Rebateapplication must be postmarked by June 7, 2013.2. Work must be completed by a participating contractor who has been trained and certiﬁed by themanufacturer and who has installed a minimum of three solar thermal systems.3. Applicant must be a Pennsylvania residential customer of West Penn Power.4. Participating contractors are not employees, agents or contractors of West Penn Power.5. Customers who purchased qualiﬁed equipment before January 1, 2012, also may be eligible forrebates. Call 1-888-265-6684 for more details.6. It is the responsibility of the customer to assure that all requirements for the rebate are met. Failureto provide any of the required information will prevent processing of your application.7. Rebate payments are based on the equipment purchase date. Customers must abide by the rulesand rebate levels in effect on the date of purchase.8. Purchase must be of a high-efﬁciency solar thermal unit as deﬁned in the table called SolarThermal Energy Efﬁciency Systems.9. West Penn Power and/or its designees including program administrators and evaluation contractorsreserve the right to review installations to verify completion and measure energy savings to ensurecompliance with all program requirements. Such reviews will be made at a time convenient to theapplicant. Misrepresentation of installation location or measure eligibility may result in forfeiture ofthe rebate.10. Program procedures, requirements and rebate levels are subject to change or cancellation withoutnotice and are subject to available program funds.11. Payment will be issued to the account holder and mailing address on record with the utility.12. Please allow up to 90 days from the date all required information is received to process your rebate.13. Installations must be completed in accordance with all laws, codes and other requirementsapplicable under federal, state and local authority.14. West Penn Power, its parents, subsidiaries, employees, afﬁliates and agents assume noresponsibility for the performance of the equipment or equipment warranty, the quality of the work,labor and/or materials supplied, and/or the acts or omissions of the participating contractor.15. The customer hereby agrees to indemnify, defend and hold harmless West Penn Power, its parents,subsidiaries, employees, afﬁliates and agents from any and all liability associated with this project.16. I understand that I may be contacted by West Penn Power via survey or questionnaire to providefeedback on my satisfaction with the program.17. By participating in this program, Customer agrees to allow the local utility (West Penn PowerCompany) to take ownership of the Energy Efﬁciency resource credits associated with the measuresgenerated through this program. Your local utility may at its sole discretion then aggregate yourcredits with other similarly situated customers and bid the credits into the PJM market through anauction. Any proceeds from any such bids accepted by PJM will be used to offset the costs chargedto the utility’s customers for compliance with state mandated energy efﬁciency and/or peak demandrequirements..
Solar Thermal Equipment Rebate Application
West Penn Power Residential Solar Thermal Program
c/o Honeywell · 145 Route 46 West · Wayne, NJ 07470
(Please do not send this form with your utility bill payment)
By signing this application, I agree to the terms and conditions of this document and certify that the information I have provided is true and accurate.
Customer signature: Date: Print name:
ENERGY EFFICIENCY PROGRAM
The costs of energy efﬁciency programs are recovered through residential customer rates in accordance with Pennsylvania Act 129 of 2008. You will not be charged any additional fees to participate.