San José Clean Energy EcoHome Rebate Application

Your name

Your email

Your phone number

Installation site address

Installation site city

Installation site zip

PG&E account associated with property

City of San José website

SJCE email or newsletter

SJCE website

Search engine (Google, Bing, etc.)

Social media (Facebook, Instagram, etc.)

Community forum (NextDoor, Google Group, etc.)

Neighbor or friend referral

Contractor

Other (please specify)

1 or 2 appliance swap-out

Small retrofit (1-2 rooms)

Major retrofit or renovation

Yes

	Don’t currently have	Electricity	Gas	Propane	Don’t know/Not applicable
Water heating	Water heating Don’t currently have	Water heating Electricity	Water heating Gas	Water heating Propane	Water heating Don’t know/Not applicable
Space heating	Space heating Don’t currently have	Space heating Electricity	Space heating Gas	Space heating Propane	Space heating Don’t know/Not applicable
Space cooling-central AC	Space cooling-central AC Don’t currently have	Space cooling-central AC Electricity	Space cooling-central AC Gas	Space cooling-central AC Propane	Space cooling-central AC Don’t know/Not applicable
Space cooling- room unit	Space cooling- room unit Don’t currently have	Space cooling- room unit Electricity	Space cooling- room unit Gas	Space cooling- room unit Propane	Space cooling- room unit Don’t know/Not applicable
Cooking	Cooking Don’t currently have	Cooking Electricity	Cooking Gas	Cooking Propane	Cooking Don’t know/Not applicable
Clothes drying	Clothes drying Don’t currently have	Clothes drying Electricity	Clothes drying Gas	Clothes drying Propane	Clothes drying Don’t know/Not applicable

Yes

Yes

Owner

Renter

One dwelling - single family home, mobile or manufactured home

One dwelling - accessory dwelling unit or ADU

One dwelling - single-unit in a multi-family building

Several dwellings - single family and ADU; or several multi-family dwelling units