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FutureFit Homes Rebates
Application (This form is no longer in use. Applications submitted will not be processed)
Applicant Information
*
1.
Applicant Information
(Required.)
Your name
Your email
Your phone
Installation site address
Installation site zip
PG&E account associated with property
*
2.
What is your property/installation site city?
(Required.)
Campbell
Cupertino
Gilroy
Los Altos
Los Altos Hills
Los Gatos
Milpitas
Monte Sereno
Morgan Hill
Mountain View
Saratoga
Sunnyvale
Unincorporated Santa Clara County
San Jose
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3.
How did you hear about our Homes rebates?
(Required.)
SVCE email or newsletter
Browser search
Social media (Facebook, Instagram, etc.)
Community forum (NextDoor, Google Group, etc.)
City website
Neighbor or friend referral
Contractor
SVCE Electric Showcase Awards
Other (please specify)
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4.
What type of home upgrade is this installation a part of?
(Required.)
1 or 2 appliance swap-out
Small retrofit (1-2 rooms)
Major retrofit or renovation
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5.
Is this appliance installation part of an emergency replacement
(Required.)
Yes
No
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6.
How are the following appliances currently powered in your home?
(Required.)
Don't currently have
Electricity
Gas
Propane
Don't know/
Not Applicable
Water heating
Don't currently have
Electricity
Gas
Propane
Don't know/
Not Applicable
Space heating
Don't currently have
Electricity
Gas
Propane
Don't know/
Not Applicable
Space cooling – central AC
Don't currently have
Electricity
Gas
Propane
Don't know/
Not Applicable
Space cooling – room unit
Don't currently have
Electricity
Gas
Propane
Don't know/
Not Applicable
Cooking
Don't currently have
Electricity
Gas
Propane
Don't know/
Not Applicable
Clothes drying
Don't currently have
Electricity
Gas
Propane
Don't know/
Not Applicable
7.
If you're installing a Heat Pump Water Heater, what is the size (in gallons) of your existing water heater tank? (N/A if not installing a Heat Pump Water Heater.)
8.
Do you currently own an Electric Vehicle?
Yes
No