HEATING AND COOLING - MidAmerican Energy Company

HEATING AND COOLING

2019 SOUTH DAKOTA RESIDENTIAL EQUIPMENT REBATE APPLICATION

Instructions: Fill out application completely and sign. Attach supporting documentation: itemized invoice(s), EnergyGuide label(s), if applicable, etc. Failure to complete the required sections and provide documentation will result in denial of claim.

Equipment must be purchased and installed between Jan. 1, 2019, and Dec. 31, 2019. Rebate applications must be postmarked by Jan. 31, 2020, to qualify for 2019 rebates. Rebate applications for equipment/materials purchased in 2019, postmarked after Jan. 31, 2020, will not be eligible for rebates.

Rebates cannot exceed 50 percent of the installed cost (reasonable labor and material/equipment ? reasonableness to be determined by MidAmerican Energy Company). Installed cost includes contractor labor only and does not include internal labor.

SECTION 1 (REQUIRED)

Name on account

Customer Information

Mailing address (if different from installation address)

Installation address

City

State

ZIP

City

State

ZIP

Phone

Email address*

*This email address only will be used for communication regarding this rebate application. Your email address never will be shared and you can unsubscribe at any time. MidAmerican Energy Company account number (found on bill; first seven digits only)

Self-installed

q Yes q No

The equipment is installed in what type of home?

q Single-family home (1-2 residential units in a building)

q Multifamily home (3 or more residential units in a building)

q Manufactured home

Year home was built:

Home square footage:

Number of bedrooms in home:

q1

q2

q3

q4

The new equipment is for: q Replacement of existing equipment

q New installation

The home where the equipment is installed is:

q Both heated and cooled

q Heated only

q New construction

What fuel type is used to heat the home?

q Natural gas

q Electric

q Other

SECTION 2

Complete all fields for each piece of equipment purchased and installed.

Natural Gas Furnace Information

You must be a MidAmerican Energy residential natural gas customer to qualify. Equipment must be AHRI Certified, ................
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