Heat Pump Water Heater Rebate Tier 1 Heat Pump Water Heater $300 Tier 2 and 3 Heat Pump Water Heater $600 Program Requirements In existing homes, the new Heat Pump Water Heater (HPWH) must replace an electric storage water heater. The HPWH must be listed on the Northwest Energy Alliance's qualified products list as meeting the requirements of Northern Climate Specifications. Required permits are the responsibility of the contractor and the home owner to obtain, and the HPWH must be installed according to manufacturer specifications. Check with local jurisdictions for required permits. Only 1 HPWH rebate will be paid for per location in a 13-year period. Applications must be received within 60 days of purchase or delivery date, and receipt or invoice must be attached with this application submission. Installations may be verified by GHPUD to ensure compliance with program guidelines. Personal InformationName(Required) First Last Phone(Required)Email(Required) GHPUD Account Number(Required) Installation Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address(Required) Same as Installation Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Heat Pump Water Heater InformationManufacturer(Required) Model Number(Required) Where did you purchase your HPWH?(Required) Upload copy of itemized purchase receipt(s) or invoices(s)(Required)Max. file size: 300 MB.Home InformationLocation of HPWH Installation (garage, laundry, etc.)(Required) Is the installation location heated?(Required) Yes No Primary heat in home:(Required) Electric Gas Other Home construction type:(Required) Site Built Manufactured ***Please note that your application will not be reviewed for rebate program eligibility unless it is completed in full.Consent(Required) By signing below I/we certify that the primary source of heat in my/our home is electric. I/we also understand that the agreement for work to be performed is solely between me/us and the contractor(s) I/we have selected to perform the work and that Grays Harbor PUD is not in any way responsible for the work performed by contractors in connection with energy efficiency measures. I/we understand that the final rebate payment will be determined upon final inspection/review of the project by GHPUD. I/we also acknowledge that GHPUD will share energy efficiency project information and energy data from time to time with external agencies such as, but not limited to, Bonneville Power Administration and the State of Washington for reporting purposes only.Applicant Electronic Signature (Full Name)(Required) *Grays Harbor PUD reserves the right to revise program rules and guidelines, including discontinuing all or part of the available incentives at any time and without prior notice. All projects, once approved, will be subject to the guidelines and incentives in place at the time of approval*NameThis field is for validation purposes and should be left unchanged.
