Manufactured Home Rebate Form

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

N.E.E.M. 1.1 - $1,000
N.E.E.M. 2.0 - $1,400

Member / Customer Information

Name*

First Last

CPC Account Number*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Service Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Home Heating Information

Must be Electrically Heated

Heating*

Electric Furnace w/AC
Electric Furnace w/o AC
Heat Pump

Water Heater Fuel Type*

Electric
Other

Date home was set at location*

Required Paperwork

Certificate of Compliance from the Manufacturer*

(Completely filled out)

Agreement

Applicant Consent*

I hereby request an incentive for the above listed item(s) and agree to the BPA terms and conditions. I understand that final approval will be determined by Clearwater Power Company and could take 6 to 8 weeks to be processed. I hereby verify the above information to be true and complete. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.

Applicant Electronic Signature (Full Name)*