Please make sure the form is complete and remember to attach an AHRI certificate and Dated Installation Invoice. Rebate amount is $200.

Wheatland Electric HVAC Rebate Form

Application must be submitted within 60 days of installation.  Incomplete applications will not be accepted.  For questions, contact Alli Conine at 620-874-4563 or aconine@weci.net

MEMBER INFORMATION
CONTRACTOR
EQUIPMENT INFORMATION
Please attach a copy of the AHRI certificate
One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.
Please attach a copy of the dated receipt or contractor invoice that details all installed equipment information, including brand, model #, and serial #.
One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.
APPLICANT ACKNOWLEDGEMENT
Please use your mouse (or finger for touch screens) to sign. By signing your name in this box, the Member affirms that the information reflected here is accurate to the best of his or her knowledge and that falsification or reporting of incorrect information on this form is grounds for denial of the rebate.