Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Rebate Application

  1. Instructions
    1. The rebate(s) apply to new Consortium for Energy Efficiency (CEE) clothes washer with Integrated Water Factor (IWF) of 3.2 or lower purchased after 07/01/2012, new high-efficiency toilets purchased after 07/01/2012 that are for homes or businesses built in 1996 or older, and automatic evaporative (swamp) cooler thermostats purchased after 07/01/2015. 2. The completed Application form and itemized receipt must be received within 90 calendar days from purchase date. 3. Please ensure that you have read the Terms and Conditions on our website before you complete the application below.
  2. Applicant Information
  3. Type of Fixture(s) Installed ( Check all that apply):*
  4. Fixture(s) Details
  5. HE Clothes Washer
  6. HE Toilet
  7. Cooler Thermostat
  8. Acknowledgement and Signature:
    I have read, understand, and agree to the terms and conditions of this agreement and the information contained in the application is truthful and correct to the best of my knowledge. I hereby certify that I am the customer authorized to replace the clothes washer, toilet, and/or evaporative cooler thermostat at the address listed above. I understand that providing false information may result in revocation of funds.
  9. Leave This Blank: