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Attic Insulation Rebate Form

  1. Put "Same" if your service address is the same as your mailing address.
  2. A receipt must state pre-existing R-value, added R-value, and square footage covered
  3. By checking each box you certify the following: *
    You must check ALL boxes to be considered eligible for this rebate. NOTE: This rebate is not available to new construction.
  4. Electronic Signature- By adding your name here you agree that everything above is correct and submitted by you.
  5. Leave This Blank:

  6. This field is not part of the form submission.