2021
Residential oil/propane
heating & water heating
rebate form
WE ARE MASS SAVE®:
2021 residential oil/propane heating & water heating rebates
Save with rebates on eligible equipment installed between January 1, 2021 and December 31, 2021.
Rebate not to exceed purchase price. Limit three (3) rebates per gas/electric meter.
GET STARTED
1. Contact multiple licensed contractors to get quote(s) for eligible equipment that meets or exceeds minimum
eciency requirements.
2. Interested in 0% financing?
Apply for a Mass Save® HEAT Loan prior to installing your equipment. Learn more at MassSave.com/HEATLoan
3. Schedule and complete installation of eligible equipment between January 1, 2021 and December 31, 2021.
4. Complete and submit your rebate form:
To receive your rebate faster, submit online at MassSave.com/Rebates
By mail, send all required documentation to: Mass Save Residential Heating & Cooling Program
P.O. Box 2528, Manchester, CT 06045
HOW TO APPLY
REQUIRED DOCUMENTS*
1. *Completed and signed application. 2. *Copy of your most recent electric utility bill.
3. *Contractor’s invoice including:
*Equipment Make, Model Numbers and Size *Installation Date and Address
*Total Install Cost and Proof of Payment Contractor Information
*Required Fields/Documents
Note: Completed rebate application and required
documentation must be submitted within 60 days of
completion of work and by January 31, 2022. Rebate
processing time is typically less when submitting online.
CUSTOMER INFORMATION (FILL CIRCLES COMPLETELY)
Please select your Residential Electric Utility or Energy Eciency Provider:* Cape Light Compact Eversource National Grid Unitil
Account Holder Name:*
Electric Account Number:*
Installation Address:
(Must match the residential electric account address)
* City:* State:
MA
ZIP Code:*
Phone Number:* Email:*
Is this property primarily occupied by the owner or a renter? Owner Renter
Customer Signature: Date:
I certify that all information is correct to the best of my knowledge and that I adhere to all terms and conditions of this rebate.
PAYEE FOR REBATE (IF DIFFERENT FROM ABOVE)
Payee Name:
Payee Address: City: State: ZIP Code:
Phone Number: Email:
Please allow 6–8 weeks for processing. For more information, to confirm eligibility or to check the status of your rebate, call 800-232-0672
or email ask@efi.org
WE ARE MASS SAVE®:
FOR ADDITIONAL INFORMATION, VISIT MASSSAVE.COM/REBATES OR CALL 800-232-0672.
click to sign
signature
click to edit
2021 residential oil/propane heating & water heating rebate form
CONTRACTOR INFORMATION (ALL FIELDS ARE REQUIRED)
Please fill out; incomplete information will delay application processing.
Contractor’s Name: License Number:
Business Phone: Fax: Email:
HIGH-EFFICIENCY OIL OR PROPANE HEATING SYSTEM REBATE
Limit three (3) rebates per gas/electric meter.
EXISTING HEATING SYSTEM
Type:
Hot Water Boiler Warm Air Furnace Fuel: Oil Propane Other
NEW HEATING SYSTEM
Heating Equipment Fuel Type
Minimum
AFUE
Rebate
Amount
Date
Ins
talled
Manufacturer
Model
Number
AFUE
Rating
Furnace with ECM Oil 86% $650
Furnace with ECM Propane 95% $1,000
Hot Water Boiler Oil 86% $800
Hot Water Boiler Propane 90% $1,500
Hot Water Boiler Propane 95% $2,300
Condensing Boiler with
On-Demand Hot Water
Propane 95% $2,000
WATER HEATING EQUIPMENT REBATE
EXISTING WATER HEATER INFORMATION
Type:
Freestanding Tank Tankless Fuel: Oil Propane
Water Heater Fuel Type
Minimum
UEF
Rebate
Amount
Date
Installed
Manufacturer Model Number
Size
(Gallons)
Total
Cost
Indirect
Water Heater
Oil n/a
$400
Indirect
Water Heater
Propane n/a
$400
ENERGY STAR®
Certified Propane
On-Demand Tankless
Water Heater
Propane 0.87
$800
New indirect water heater is connected to:
New heating system, AFUE rating: Existing heating system, estimated age:
ENERGY-EFFICIENT THERMOSTAT REBATES
Limit four (4) rebates per service address.
NEW THERMOSTAT INFORMATION
Measure Description Date Installed Manufacturer Model Number
Installed/
P
urchase Cost
QTY
Rebate
Amount
Total Rebate
Programmable
Thermostat
$25
ENERGY STAR® Certified
Smart Thermostat
$100
Visit MassSave.com/Thermostats for the most current list of qualifying thermostat manufacturers.
FOR ADDITIONAL INFORMATION, VISIT MASSSAVE.COM/REBATES OR CALL 800-232-0672.
____________________________ ________________________
HEATING EQUIPMENT
Fuel Type Equipment
Rebate
Amount
Minimum Annual Fuel Utilization
Efficiency (AFUE)
Oil Furnace With Electronically Commutated Motor (ECM) Blower $650 86% or Higher
Oil Hot Water Boiler $800 86% or Higher
Propane Furnace with ECM Blower $1,000 95% or Higher
Propane Hot Water Boiler
$1,500 90% or Higher
$2,300 95% or Higher
Propane Condensing Boiler with On-Demand Hot Water $2,000 95% or Higher
WATER HEATING EQUIPMENT AND THERMOSTATS
Fuel Type Equipment
Rebate
Amount
Efficiency Requirements
Oil or Propane Indirect Water Heater $400
Must be attached to an oil- or propane-fired heating
system. Must replace a freestanding or tankless water heater.
Solar storage tanks are not eligible.
Propane
ENERGY STAR® Certified Propane
On-Demand Tankless Water Heater
$800 0.87 Uniform Energy Factor (UEF) or higher with electronic ignition.
Oil or Propane Programmable Thermostat Up to $25 New only. Rebate not to exceed purchase price.
Oil or Propane
ENERGY STAR® Certified
Smart Thermostat
Up to $100
New only. Wireless connections must be enabled.
Rebate not to exceed purchase price.
Visit MassSave.com/Thermostats for qualifying thermostat details.
Customers with central A/C must provide serial number and MAC address to be eligible for additional offerings.
Serial No.: MAC Address:
ELIGIBILITY
Oers valid only for residential electric customers in MA where the Mass Save Electric Heating and Cooling Program is oered by Cape Light Compact,
Eversource, National Grid and Unitil. Rebate is valid only for equipment installation made by licensed contractors. Only original applications will be accepted.
Work is subject to post-installation verification. Additional restrictions may apply, and the program is subject to change without notice.
TERMS AND CONDITIONS
Rebates: Subject to these Terms and Conditions, Cape Light Compact, Eversource
Energy, National Grid and Unitil, herein known as the “program administrators (PAs),
through their contractual vendor, herein known as the “rebate administrator,” will pay
rebates to eligible program administrator customers or designated payees of customers
for the installation of eligible high-eciency heating equipment within the respective
program administrator’s service territory.
Customer Eligibility: You must be a Massachusetts residential electric customer of
a participating PA installing replacement equipment between January 1, 2021 and
December 31, 2021. Equipment must have been installed in a home with an active
residential program administrator electric account. Rebate administrator must receive
completed application and required documents listed within 60 calendar days of
installation. Equipment must be installed by a licensed contractor at the customer’s
address listed on the rebate application. Customer certifies that the described high-
eciency heating equipment, water heating equipment and/or controls have been
installed in accordance with all program guidelines and applicable codes. Equipment
installed in new construction is not eligible if incentives have already been received
through the Renovations and New Construction Path. Projects greater than ten
(10) units require pre-approval from the Program. Pre-approval can be obtained by
contacting ask@efi.org.
Rebate Application: The customer is responsible for submitting this completed rebate
form, which must include the contractor license number and signature. Incomplete
applications will not be processed. The customer must complete and submit
other required documentation to the rebate administrator. Completed form and
documentation must be received (1) within 60 calendar days of equipment installation,
and (2) within one year of the verification date noted on the rebate form. If customer
receives financing through a HEAT Loan Program Participating Lender, the applicable
rebate amount will be deducted from the loan amount and the customer will be
responsible to pay the rebate amount upfront.
The customer will be reimbursed the rebate amount once the rebate application has
been processed. Program deadlines still apply to customers financing through a HEAT
Loan Rebate oer not eligible for commercial equipment. In submitting this application,
the customer agrees to all Terms and Conditions.
Post-Installation Verification: Prior to rebate payment, the rebate administrator
reserves the right to coordinate an onsite verification through a Mass Save® lead
vendor to ensure that the equipment was installed according to the guidelines of
the program. It does not include any kind of safety review and should not be relied
upon as one. If the Mass Save lead vendor determines that the equipment installed
does not meet the program specifications as described in the application, the rebate
administrator reserves the right to refuse payment of the rebate.
No Warranties: The program administrators and rebate administrator do not make
any representation of any kind regarding the results to be achieved by the equipment
or the adequacy of such equipment. The program administrators and the rebate
administrator expressly disclaim any and all warranties or representations of any kind,
whether oral, statutory, expressed or implied, including, without limitation, warranties
of merchantability, usage, suitability or fitness for a particular purpose. Contact your
contractor for details regarding equipment performance and manufacturer warranties.
The program administrators and the rebate administrator do not endorse, guarantee or
warrant any particular contractor, manufacturer or installation.
Changes in the Rebate Offer: These Terms and Conditions may be changed or the oer
may be terminated by the program administrators at any time without notice.
Contractor Insurance: The program administrators and the rebate administrator are not
responsible for any damage that may be caused by or arise out of an installation of any
equipment. The customer must select a contractor who carries appropriate insurance
coverage and licenses.
Liability: The program administrators and the rebate administrator are not liable for
any customer damages that may occur as a result of the termination of this program
beyond the amount of the rebate.
No Tax Liability: The program administrators and the rebate administrator are not
responsible for any tax liability that may be imposed as a result of receipt of the rebates.
Electric Benefits: Other than the energy savings realized by customer, customer agrees
that program administrator has the unilateral right to apply for any credits or payments
resulting from the program or equipment. Such credits and payments include but are
not limited to: (a) ISO-NE capacity payments, (b) other electric or natural gas capacity
and avoided cost payments or credits, (c) environmental credits, and (d) payments
from demand response programs. Customer further agrees customer will not file for
such payments or credits either directly or indirectly, and will not consent to any other
third party’s right to such payments or credits. This right is irrevocable for the life of the
equipment unless the program administrator provides written consent.
FOR ADDITIONAL INFORMATION, VISIT MASSSAVE.COM/REBATES OR CALL 800-232-0672.