Incentive Request Form
Organization Name Applying for Incentive
Contractor Name/ Email
What type of application are you applying for?
What is the status of this project?
Customer Information (Customer Only, NOT Contractor)
Project Start Date (If known)
Project Completion Date (If known)
What is the building square footage?
(SQ.FT. of area being worked in or that equipment is servicing)
Who Are the Buildings Utility Providers?
Unknown Utility Provider
What are the energy measures you are applying for?
Building Automation System
Heating and Cooling Equipment: New/ Replacement
Other Utility Measure
If other, please explain
If applying for building automation, please answer the following:
Does the building currently have DDC controls?
If yes, please explain the current system
(Imply if they are currently implementing setbacks)
Please provide a brief project description
Please include any documents pertaining to this project. (Ex. specification sheets, scaled drawings, scope of work, receipts, project invoices, photos, etc.)
Send me a copy of my responses
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