Rebate Forms

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You can fill out an online form for your Residential, Commercial, or Water rebates below. If you do not wish to submit an online rebate form, please download the pdf version, fill it out, and submit by mail or drop it off at our office.

Residential Rebates

Online Forms

  • This offer is for a limited time only, subject to availability of funding.

  • Date Format: MM slash DD slash YYYY
  • Incentives of 75% of cost, up to $800 incentive for insulation, 75% of cost, up to $500 incentive for air sealing and $100 incentive for a programmable wireless thermostat or $25 for a programmable non-wireless thermostat.

  • Please attach the original receipts or invoices, along with the page from your energy audit that recommends insulation, air sealing or a programmable thermostat. Air sealing or insulation must be recommended in a home energy audit and installed by a BPI certified contractor to qualify for an incentive. Programmable thermostats will only qualify if recommended in the home energy audit.
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  • This offer is for a limited time only, subject to availability of funding. Please attach the original receipts, along with the specifications sheet that shows it meets the requirements listed below. Incentives will be applied to your account.

  • Units must meet the following specifications

    Incentive not to exceed $700 per customer for this program.

  • HVAC and Water Heater Program SEER EER HSPF Rebate
    Central Air Conditioning ≥16 ≥13 - $50 per ton
    Central Heat Pump ≥15 - ≥9 $350 per ton
    Ducted or Mixed Ducted Mini-Split Heat Pump ≥15 - ≥9 $350 per ton
    Ductless Mini-Split Heat Pump ≥15 - ≥10 $150 per ton
  • HVAC and Water Heater Program Rating Proposed Rebate
    Heat Pump Water Heater ENERGY STAR ≤ 55 gallon should have a minimum UEL of 2.00 $300
    ENERGY STAR < 55 gallons should have a minimum UEF of 2.70 $150
  • Please attach the original receipts, along with the specifications sheet that shows it meets the requirements.
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Downloadable PDF Forms

Commercial Rebates

Online Forms

  • This offer is for a limited time only, subject to availability of funding.

  • Incentives of 10% of the cost, up to a maximum of $350 on a Commercial Appliance.

    Commercial Appliances such as: Clothes Washers, vending machines, water coolers, kitchen packages, dishwashers, fryers, griddles, hot food holding cabinets, ice machines, ovens, refrigerators/freezers, and steam cookers qualify if they are Energy Star rated.

    Residential Appliances are rebated as follows: Clothes Washers and Dryers: $75; Air Purifiers: $40; Room Air Conditioners: $40; Dehumidifiers: $30; Televisions: $50; Computers: $50; Monitor/Display: $30, Printers: $25

  • Please attach the original receipts, along with the energy guide or the booklet which shows that it is ENERGY STAR compliant. Incentives will be applied to your electric account.
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Downloadable PDF Forms

Water Rebates

Online Forms

  • This offer is subject to availability of the annual funding maximum.

    Incentives of 50% of the installed cost, up to a maximum amount of $250

  • Please attach the original receipts with this rebate form.
    Rebates can be applied to your water account or a check can be processed in the water account holder’s name.

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Downloadable PDF Forms

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Pascoag Utility District offers the latest technology to help you manage your electric or water account 24/7 by computer, smartphone or tablet with a free online application called SmartHub.

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