2025 Residential Gas Heat Pump Pilot Application
Homeowner name
Nicor Gas Account Number
Street address (Address, City, State, ZIP)
Email address
Phone number
Phone
How big is your home (sq. ft.) including any unfinished space?
What year was your home built?
1979 - older
1980 - 2012
2013 or newer
What is the location of the heating equipment/mechanicals inside your home?
Unfinished basement
Finished basement
Main floor
Attic
Other
Do you have access to in-home Wi-Fi?
Yes
No
Unsure
What is your heating equipment fuel source and type?
Natural gas furnace
Electric furnace
Air source heat pump
Natural gas boiler
Electric boiler
Other
What is your water heater equipment fuel source and type?
Natural gas water heater
Electric water heater
Electric heat pump water heater
What is your cooling equipment fuel source and type?
Air conditioner
Air source heat pump
Window unit
Other
Do you have access to a clear area (4x5 feet) near your house for the outdoor heat pump unit?
Yes
No
Unsure
Have you participated in any of the offerings from the Nicor Gas Energy Efficiency Program?
Yes
No
Unsure
*
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