CUSTOM REBATE APPLICATION

CUSTOM REBATE APPLICATION

Before you get started, you will need the following information:
  • Your DP&L account number
  • A full description of the energy efficient measures you are planning to install, the cost, life expectancy and operating hours
  • For each measure, the baseline and new kWh and kW

Note: All Required Fields are marked with a red asterisk and bold lettering. (*Required:)

Click here to review rebate instructions


Project Information
*DP&L Account #:
*Customer Federal Tax ID: (Ex: xx-xxxxxxx)
*Company Name:
*Primary Contact:
*Telephone: () -
*Email:
*Expected Installation Date:  /   / 
*Project Type:
*Property Type: Fabrication / Heavy Industry
Food Processing / Agricultural
Hi-Tech / Bio-Tech
Large Commercial
Medical / Hospital
Retail / Hospitality
School (K-12) / Private
University / College
Water / Waste Treatment
Other
Specify Other:

Address Where Rebate Should Be Mailed
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip:

Installation Address
Installation Address is the same as the Mailing Address
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip:

Facility Information
*Facility Days and Hours of Operation:
Monday  — 
Tuesday  — 
Wednesday  — 
Thursday  — 
Friday  — 
Saturday  — 
Sunday  — 

Dealer Information
Dealer Name:
Telephone: () -
Dealer Contact:

Contractor Information
Contractor Name:
Telephone: () -
Contractor Contact:

*I hereby accept the Terms and Conditions:


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