Appliance Rebate Form

Please fill out each section and attach the requested documentation. Any questions can be directed to member services at (208) 743-1501.

Name(Required)

First Last

CPC Account Number(Required)

Email(Required)

Phone(Required)

Installation Address(Required)

The physical location for this project/application

Mailing Address City State ZIP Code

Is this also your mailing address?

Mailing Address(Required)

Street Address City State ZIP Code

Washer & Dryer Information Section

Are you applying for an Energy Star clothes washer rebate?(Required)

What brand of Clothes Washer did you purchase?(Required)

What is the model number of Clothes Washer?(Required)

Are you applying for an Energy Star clothes dryer rebate?(Required)

What brand of Clothes Dryer did you purchase?(Required)

What is the model number of Clothes Dryer?(Required)

Invoice or Receipt(s) for Washer/Dryer Purchase(Required)

Drop files here or

Max. file size: 100 MB.

Must be marked paid in full/showing a zero balance due.

Proof of Installation

Drop files here or

Max. file size: 100 MB.

Proof of installation (photo or invoice) is strongly recommended to expedite your rebate application

Approval Agreement(Required)

I hereby request an incentive for the above listed item(s) and understand that all incentives are subject to an approval process from Clearwater Power Company and Bonneville Power Administration according to their approved measures implementation manual.

Processing Agreement(Required)

I understand that rebates typically require 6-8 weeks for approval and processing.

Funding Source(Required)

Attestation(Required)

I hereby verify the above information to be true and complete. I understand that this form submission will be stamped with today’s date and authorized by me as if I had signed with my signature.