Cuivre River Electric Cooperative - Title

Recipient Address

Account ID

Organization

First Name

Last Name

Email

Phone

Address

Address 2

City

State / Zip

Installation Address

Is address the same?

Organization

First Name

Last Name

Email

Phone

Address

Address 2

City

State / Zip

Installed Products

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Information needs to be entered in the same order the fields appear. If you are unable to select a record from the drop down that indicates the criteria has not been met.

Date must be between 10/1/2020 and 12/31/2050.

Listed below are the available items.

Begin	End	Minimum
01/01/2021	12/31/2050		Basement \| Crawl Space Slab Insulation \| Walls (>=R-10)
10/01/2020	12/31/2050	1	Basement \| Crawl Space Slab Insulation \| Under Slab (>= 1 inch)

Rule Date

Brand

Model

Purchase Order

Serial

Invoice Number

AHRI Certificate

Energy Star

Size

Size 2

Size 3

Cost

Purchase Date

Backup Heat Source

Efficiency Rating

Efficiency Rating 2

Efficiency Rating 3

Solar Rating

Solar Rating 2

Ev Charging Level

Text

Item

Quantity

Price

Redemption Id

Amount Per Unit

G&T Amount

Distribution Amount

All fields are required unless otherwise indicated.

Survey

Did you install a new geothermal system at the same time?

Yes

No

Geothermal Unit Serial No

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Insulation Rebates w/ GSHP Install

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