Step 1 of 3 0% All systems must: Be listed on BPA's Ductless Heat Pump (DHP) Qualified Products List Be installed to the Best Practices for Installing Ductless Heat Pumps Guide Be installed in accordance with manufacturer specifications, including adherence to proper refrigerant charging What is being installed?*Single Ductless Indoor HeadSingled Ducted Mini-Split¹Multiple Ductless Indoor HeadsMultiple Indoor Ducted Mini-Splits¹Combination Ductless/Ducted Mini-SplitsDuctless Heat Pump Upgrade¹ Ducted Mini-Splits do not include whole home centrally ducted systems. See Performance Tested Comfort System (PTCS) Air Source Heat Pumps for information on whole-home centrally ducted systems. Eligible Home Types*Existing Single FamilyExisting ManufacturedNew Single Family* (in all states except WA)New Manufactured*New Single Family Homes in Oregon, see additional requirement below Eligible Home Types*Existing Single FamilyExisting ManufacturedEligible Existing Heating System Being Displaced*Electric Forced Air FurnaceElectric Zonal²Eligible Existing Heating System Being Displaced Ductless Heat Pump ² Zonal heating includes electric, non-ducted: Ceiling cable, wall, baseboard, plug-in, and an electric boiler/water heater attached to a hydronic floor heating system. * Oregon New Single Family Only To qualify for a DHP incentive, utilities must document that a high efficiency water heater is installed in the home to meet Oregon Building Code.High-Efficiency Water HeaterYesNo $800 Approved DHP installer Single-Family Homes Existing Home Only Manufactured home $500 Approved DHP installer New, Single-Family Homes Household InformationCustomer Name* First Last Customer Electric Utility*Customer Phone*Installation Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Year BuiltTotal Heated Area of the Home (Sq Ft)Mailing Address(if different) Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Installation InformationAHRI Certified Reference NumberHSPF Rating*Installation Date (mm/dd/yyyy)* Date Format: MM slash DD slash YYYY Outdoor Unit Manufacturer*Outdoor Unit Model(s) Number*Indoor Units(Click the + button to add a new row if multiple indoor units are installed)Associated Indoor Unit NumberIndoor Unit Model Number(s) Total Installed Cost (before rebates)Additional Repair Cost (if low income)*Please attach invoice and photos here (if available)
