2010 Watt Savers

Rebate Form

Customer Information (will also be used for customer’s rebate check):

NOTE: A copy of paid receipt must accompany this rebate form. Rebates must be submitted within thirty (30) days of the installation date
to be processed. Installations older than thirty (30) days will not be eligible.
Customer Name: _______________________________________ REMC Acct. #: _____________________
Address: _______________________________________________________________________________
Street City Zip

Home Tel.: __________________________________ Email: _____________________________________

Select rebate options: Mail check Apply to bill REBATE Total: ___________________
(Office Use ONLY)

Heating & Cooling Information:

Select system installed: Heat Pump Central Air
Outdoor Indoor ARI ARI SEER Cooling
Manufacturer: Coil #: Coil #: Reference #: Rating: Tons:

Geothermal Unit
ARI ARI EER Cooling
Manufacturer: Unit Model #: Reference #: Rating #: Tons:

NOTE: The above model numbers should be written as they are found in the ARI directory at www.aridirectory.org. See dealer for this
information. The ARI rated SEER on heat pumps and central air units will be the SEER used to determine rebates. Please check that your
choice of equipment is an ARI certified match.

Heating & Cooling Installer/Builder Information:

Installer Name: ____________________________________ Phone: _________________________________
Install Date: __________________________ Builder Name: _______________________________________

Electric Water Heater Information:

Water heaters must have a .90 EF (energy factor) rating or better. See manufacturers label on the unit or ask dealer.
Size/Gallons: ________ KW: ________ EF (Energy Factor) Rating: ________ Install Date: _______________
Purchased from: __________________________________ Installer: _______________________________

I certify that this equipment has been installed and meets all requirements of Henry County REMC.
Members Signature: ______________________________________________ Date: ____________________
How did you hear about this program? ___________________________ REMC Employee: ______________

Fax to: Lara Sullivan (765) 529-1667 or mail to: Henry County REMC, P.O. Box D, New Castle, IN 47362.
Questions can be directed to Lara Sullivan at (765) 529-1212 or hcremc@henrycountyremc.com.
 2010 Henry County REMC
Watt Savers Rebate Program

Important: Unit claims must be submitted within 30 days of unit placement date to be eligible
for payment. Member must supply REMC with all information specified on rebate form in order
to receive rebate. Heating and cooling systems must meet SEER ratings listed below. SEER
ratings will not be rounded to a higher equivalent. All rebate amounts are subject to change
within calendar year.

Unit Type: Unit Size: Rebate Value:

Electric Water Heater 40/50 Gal. High Efficiency $30
To replace an old electric water heater, a gas/propane 80 Gal. High Efficiency $100
water heater or when installing in a new home. Water
Heater must have a .90 EF (Energy Factor) rating or
better to be eligible.
Central Air 14/15 SEER Unit $150
To replace an old air conditioner or to install new. 16 SEER Unit $200
17 SEER Unit $250
All Electric Heat Pump 14/15 SEER Heat Pump $250
To replace an old heat pump, to install in a new home or 16 SEER Heat Pump $300
to replace a gas/propane, oil or wood furnace.
17 SEER Heat Pump $350
Heat Pump (Dual Fuel Application) 14/15 SEER Heat Pump $250
To install as a dual fuel system either replacing an existing 16 SEER Heat Pump $300
air conditioner or an existing heat pump or installing a gas
dual fuel system in a new home. 17 SEER Heat Pump $350
Air Source Heat Pump (Replacing Electric 14/15 SEER Heat Pump $700
Resistance Heat)
16 SEER Heat Pump $800
To replace an electric furnace, electric ceiling cable heat,
baseboard electric heat or any type of wall electric heaters 17 SEER Heat Pump $900
where the total heating needs of the home are being met
by electric resistance heating units.
Geothermal Heat Pump System Any SEER rating $900
To replace electric resistance heat or old heat pump, to
install in a new home or to replace a gas/propane, oil or
wood furnace.

Fax Watt Savers Rebate Form to: Lara Sullivan (765) 529-1667 or mail to: Henry County REMC,
P.O. Box D, New Castle, IN 47362. Questions can be directed to Lara Sullivan at (765) 529-1212 or by
email at hcremc@henrycountyremc.com.