Section 1 of 1 in this document

Step One: Incentive Reservation

If you have questions or issues regarding the completion of this application, please contact SBCEPrograms@SantaBarbaraCA.gov.

SBCE Account Numbers

Customer Account Number: *

Service Account Number: *

If account is not under your name, please provide the account holder’s first and last names (optional)

Is your physical address the same as your mailing address?

Yes

Phone Number

Are you applying for an income-qualified incentive?

Yes

How are you verifying your eligibility?

CARE/FERA enrollment

Form 1040

Copy of Social Security award letter or most recent check stub

Form 1040

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Social Security letter/notice

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Which incentive(s) are you applying for?

Heat Pump Water Heater

Heat Pump HVAC

Associated Electrical Work (If selected, must be combined with one of the above options.)

Which type of water heater are you replacing?

Electric Resistance (tank or tankless)

Gas or propane (tank or tankless)

Which type of heater/furnace are you replacing?

Electric Resistance heater/furnace

Gas furnace

Who will be performing the installation/work?

Contractor

Owner/Self

Please Note: Copies of purchase receipts and related installation materials will be required when submitting rebate claim for self installation.

Documentation of equipment to be purchased/installed. (Screen shot of manufacturer make/model, spec sheet, etc.)

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Contractor(s) Name

Contractor Estimate for work to be done.

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Rebate Reservation Receipt Number

You will be provided with a Rebate Reservation Receipt Number upon submission.

Please make a note of your receipt number at the completion of your submission, it is required to claim your rebate later.

Which other local, state, or federal electrification incentives/rebates have you applied for? (Please check all that apply)

TECH Clean CA

3C-REN

Federal Tax Credit

Golden State Rebates

HEERHA

GoGreen Financing

None of these

Are you Interested in helping others benefit from SBCE Energy Programs? (Please check all that apply)

Yes, I am interested in sharing written testimonial about my experience with SBCE Programs

Yes, I am interested in being contacted by a SBCE Staff member to discuss photograph or video opportunities that could help promote Energy Programs to others in my community

Yes, I am interested in learning more about becoming an ambassador for SBCE Programs so I can share the latest information through my networks

No, I am not interested

Please describe other energy or electrification projects that you have planned (Optional)

When submitting this application, you acknowledge and agree to the Program Guidelines and Terms & Conditions.

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First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Step One: Incentive Reservation

Applicant Name

SBCE Account Numbers

Mailing Address

Is your physical address the same as your mailing address?

Physical Address

Are you applying for an income-qualified incentive?

How are you verifying your eligibility?

Form 1040

Social Security letter/notice

Which incentive(s) are you applying for?

Which type of water heater are you replacing?

Which type of heater/furnace are you replacing?

Who will be performing the installation/work?

Documentation of equipment to be purchased/installed. (Screen shot of manufacturer make/model, spec sheet, etc.)

Contractor Estimate for work to be done.

Rebate Reservation Receipt Number

Please make a note of your receipt number at the completion of your submission, it is required to claim your rebate later.

How did you hear about this SBCE Program? (Please check all that apply)

Which other local, state, or federal electrification incentives/rebates have you applied for? (Please check all that apply)

Are you Interested in helping others benefit from SBCE Energy Programs? (Please check all that apply)

Sign Here