2021 Date of installation
New ENERGY STAR natural gas clothes dryer [017]
Type of Retailer (select one)
Online
Store Store Location (city and state)
Installer name
Serial Number
Complete model #Brand
RETAILER AND INSTALLER INFORMATION (Complete the entire section - please print)
Retailer name
Purchaser signature Date
It is the responsibility of the purchaser to ensure that the program requirements are met. If program requirements are not met, no rebate will be paid.
Return completed form with required signature and a detailed copy of the retailer receipt/invoice to:
CenterPoint Energy Laundry Rebate
P.O. Box 59038
Minneapolis, MN 55459-0038
Installer phone
EQUIPMENT INFORMATION (Only complete the information for the new equipment that was purchased - please print)
Purchaser Email Address Phone
2021 Purchase date
RenterBuilder AgencyLandlordOwnerPurchaser Type (select one)
Rebate check Mailing Address (House Number and Street Name or PO Box Number)
PURCHASER INFORMATION (Equipment purchaser and rebate check recipient - please print)
Rebate check payable to:
Replacement (existing home) New construction
Type of Installation (select one)
Type of Building (select one)
Single-family home Townhome Two-plex to four-plex
GAS-CIP.REBATE_RETAIL_APP_CNP1356
CNP 1356 (7-2021)
RESIDENTIAL ENERGY STAR LAUNDRY REBATE
RETAIL
MINNESOTA
INSTALLATION INFORMATION (CenterPoint Energy service and equipment installation address - please print)
CenterPoint Energy Gas Account Number for the address where the new laundry equipment was installed
Program dates: Jan. 1, 2021 through Dec. 31, 2021
1) Review the Terms & Conditions on the back of this form to ensure all program requirements are met.
2) The new natural gas clothes dryer must be listed on the current ENERGY STAR
®
website. See website: energystar.gov/products
3) Complete the entire application, including signature or complete an application online at CenterPointEnergy.com/LaundryRebate.
Application must be submitted in the same calendar year that the equipment was purchased.
4) Attach a copy of the retailer receipt/sales invoice.
5) Make a copy of the completed application for your records and mail paperwork to the address at the bottom of the form.
Installation Address (House Number and Street Address)
StateCity MINNESOTA ZIP Code
ZIP CodeStateCity
RESIDENTIAL LAUNDRY REBATE
TERMS & CONDITIONS
The qualifying equipment must be installed in a Minnesota home served with natural gas from CenterPoint Energy between January 1 and
December 31, 2021. All completed applications must be postmarked by December 31, 2021 to be considered for a rebate.
Equipment installed under warranty replacement does not qualify for the rebate.
CenterPoint Energy reserves the right to inspect the installed equipment.
Rebate applies to new equipment only. Refurbished models are not eligible for this rebate.
Equipment must be listed on the current ENERGY STAR website. See website: energystar.gov/products
ENERGY STAR natural gas clothes dryer
Type of laundry product Rebate
$75
NEW CONSTRUCTION INSTALLATIONS
For New Construction installations, the building contractor should negotiate with homeowners to determine who receives the rebate. If
you are building a new home, you must obtain an invoice from your builder or the retailer/dealer.
ONLINE REBATE SUBMISSION
Customer will receive their rebate faster than a paper form if the purchaser submits the rebate application and electronic dated sales invoice online.
Access the online form at CenterPointEnergy.com/LaundryRebate.
MAIL-IN REBATE OPTION
A rebate application will need to be completed if the purchaser doesn't submit an application online. The purchaser is required to sign the rebate
application.
CENTERPOINT ENERGY GAS ACCOUNT NUMBER
Customers can obtain their gas account number from their monthly bill statement, or online at CenterPointEnergy.com/MyAccount.
PROOF OF PURCHASE AND INSTALLATION
A clear copy of the dated retailer receipt/invoice from the retailer to the purchaser must be included with the completed application.
The receipt must describe the laundry equipment that was purchased. It cannot be a packing list, recall or generic receipt.
CenterPoint Energy is unable to accept applications that do not include all the requested information.
PROCESSING
Completed rebate forms will be processed in the order in which they are received and are paid on a first-come, first served basis. Account number must
be activated for installation address in order for rebate to be processed. CenterPoint Energy is not responsible if the retailer does not provide accurate
information about the amount of a rebate or equipment eligibility. Rebate qualifications and amounts are subject to change. CenterPoint Energy
Conservation Improvement Program (CIP) rebate programs may be cancelled or changed at any time.
CenterPoint Energy issues a cash rebate not utility bill credits. Please allow 8 weeks to receive payment in the mail from the time that
CenterPoint Energy receives your completed paperwork. If you haven't received payment after 12 weeks, you may call 612-399-1545 or email
RebateCenter@CenterPointEnergy.com.
Checks are issued from our Houston, TX office and expire in 90 days from the date that the check was issued.
MAIL COMPLETED APPLICATION TO:
Residential Laundry Rebate
CenterPoint Energy
PO Box 59038
Minneapolis, MN 55459-0038
- KEEP THIS PAGE FOR YOUR RECORDS -
APPLICATION CHECKLIST
Dated receipt/sales invoice from retailer
Purchaser signature
All fields on form are filled in