San José Clean Energy EcoHome Rebate Claim

Question Title

* 1. Reservation Number (EH-XXXX)

Question Title

* 2. Applicant Information

Your name

Your email

Your phone number

Property/installation site address

Property/installation site city

Property/installation site zip code

Question Title

* 3. To whom should we send the rebate check?

Name of person or company

Mailing address

Mailing city and state

Mailing zip code

Email

Question Title

* 4. Please list the contractor(s) that were used for your installation.

Question Title

* 5. Are you receiving rebates for this project from another entity? This will not impact your SJCE EcoHome rebate amount unless the total exceeds project cost. If you did not receive rebates from another entity, please enter "N/A".

Question Title

* 6. How much did your total project cost?