HOME REWARDS REBATE

APPLICATION

BWP Account # _________________________________ Phone #____________________________________________

Name: _____________________________________________________________________________________________
(As it appears on your account)

Service Address: ____________________________________________________________________________________

City: Burbank___________________State___________________________________Zip Code_____________________

Mailing Address
(If different from above)

Please fill out entire application. Attach an 8 ½ x 11 copy of your sales receipt or invoice and copies of manufacturer label, if
applicable, showing energy efficiency information. Incomplete and/or unclear applications will be returned to you by U.S.
Mail. Please allow 6-8 weeks for processing. Applications must be submitted no later than four months from date of purchase.

Product PURCHASED
OUT OF Required Information
Eligibility Requirements IN BURBANK BURBANK

Total Sq. Ft. _________________

Attic Insulation
The final insulation level must be R-30 or R-19 if there is less Manufacturer ______________________
than 24” of attic clearance. Please submit invoice (proof of $ 0.15 sq ft. $ 0.10 sq ft.
purchase) showing total square footage and finished level of Finished Insulation Level___________
insulation. Contracts, quotes, work orders and proposals do not
qualify as an invoice. New construction is not eligible for Purchase Date ____________________
this rebate.

Central Air Conditioning

Minimum 14 SEER rating for packaged and split systems.
Please submit invoice (proof of purchase) showing Seasonal
Tonnage_____________________
Energy Efficiency Ratio (SEER) rating and tonnage. Contracts,
quotes, work orders and proposals do not qualify as an invoice.
Manufacturer ______________________

Purchase Date _____________________

SEER 14 - 14.9 $100.00/ton $ 80.00/ton
SEER 15 - 15.9 $120.00 /ton $100.00/ton
SEER 16+ $140.00/ton $120.00/ton

Manufacturer ______________________
Ceiling Fans (Up to 3)
$ 25.00 $ 15.00
Energy Star ® rated Model #_________________________

Purchase Date _____________________

Clothes Washer
Energy Star ® rated

You may also be eligible to receive a separate rebate of $135.00 Manufacturer ______________________
From Metropolitan Water District if the clothes washer purchased
$100.00 $ 75.00
has a qualifying water factor of 5.0 or less. Model #__________________________

To apply for additional rebate go to: BeWaterWise.com and Purchase Date _____________________
link to SoCalWaterSmart or call 1-888-376-3314

Manufacturer ______________________
Dishwasher
$ 75.00 $ 50.00
Energy Star ® rated Model #_________________________

Purchase Date ____________________

PLEASE NOTE: Signature and date is required on reverse side

 PURCHASED
Product OUT OF
Required Information
Eligibility Requirements IN BURBANK BURBANK

Low-E Windows/Doors
Total Square
Energy Star ® labeled for southern climates. Both the U-Factor
Footage_______________________
and Solar Heat Gain Coefficient (SHGC) must be 0.40 or lower.
Please submit a copy of your invoice (proof of purchase) and $2.00 sq ft. $1.00 sq ft.
Manufacturer ______________________
window sticker(s) showing U-factor and SHGC. Contracts,
quotes, work orders and proposals do not qualify as an invoice.
Purchase Date ____________________
For existing window replacement only.

Pool Pump
Multiple Speed High Efficiency Replacement Pool Pumps only
$100.00 $ 50.00 Manufacturer ______________________
(spa pumps not eligible)

Purchase Date ____________________

Refrigerator
Energy Star ® rated AND you must have an existing Manufacturer ______________________
refrigerator. Your existing refrigerator must be recycled by:
Calling the City’s Public Works Department at Model #__________________________
818 238-3800 to schedule a pick-up appointment.
Please note that this phone number is $150.00 $100.00 Purchase Date _____________________
different from the Bulky Item pick up number.
OR Public Works P/U Date ______________
Your retailer (place of purchase) may haul away. OR
If using your retailer make sure it states “haul away” Retailer Haul Away Date _____________
on your original sales receipt.

Manufacturer ______________________

Room Air Conditioner Model #_________________________

$ 75.00 $ 50.00
Energy Star ® rated
Qty_____________________________

Purchase Date _____________________

Manufacturer ______________________
Solar Attic Fan
$200.00 $200.00
All solar attic fans are eligible Model # _________________________

Purchase Date _____________________

Wall Insulation Total Square Footage________________

Existing walls must be un-insulated and the installed insulation
must achieve a minimum of R-13. Please submit invoice (proof Manufacturer ______________________
$0.15 sq ft $0.10 sq ft
of purchase) showing finished level of insulation and total square
footage. Contracts, quotes, work orders and proposals do not Finished Insulation Level____________
qualify as invoice. New construction is not eligible for this
rebate. Purchase Date ________________

Manufacturer ______________________
Whole House Fan
$100.00 $ 50.00
All whole house fans are eligible Model ____________________________

Purchase Date _____________________

Participant Agreement: The energy-efficient product(s) marked above have been installed at the Burbank location indicated. I have
attached a copy of the itemized proof of purchase (sales slip or invoice) and copies of manufacturer labels showing energy efficiency
information or other required documentation. I understand that falsifying information may lead to my disqualification from this
incentive program and that BWP will take appropriate action to recover the rebate amount. This program is subject to change without
prior notice. I have read and agree to these terms and to verification of installation by a BWP representative, as necessary.

Customer Signature: _________________________________________________ Date: _______________________

If you have any questions, call us at 818 238-3730 or check our website at BurbankWaterandPower.com for up-to-date
rebate requirements and qualifications.

MAIL APPLICATION TO: Burbank Water and Power, 164 W Magnolia Boulevard, Burbank, CA 91502
Attention: Rebates

Note: Per the City of Burbank’s Municipal Code, Sec 14-804, permit(s) may be required for a new or replacement work done
in/or for the City of Burbank. Permit(s) maybe obtained from the Building Division. You may contact them at (818) 238-
5220 for related questions.