2024 Residential Heat Pump Rebate Application

If you are a National Grid customer and natural gas is your primary heating fuel, do not use this form to apply for a heat pump rebate. Submit an application to Mass Save's Heat Pump Rebate Program instead.

CMLP rebates are not available for heat pumps installed in newly constructed homes or outbuildings.

Before beginning your rebate application:

review CMLP's Heat Pump Rebate Program Guidelines to ensure that your project is eligible for a rebate. Eligibility requirements include submittal of a post-installation quality assurance form, which can be found in the "Quality Assurance" section of the Guidelines, and must be approved by CMLP.
if your home was built before 2008, know the date of your completed or scheduled home energy assessment, or have an electronic copy of your Energy Saver Home Loan Program decarbonization plan ready to upload.
have electronic copies of the following documents ready to upload:
- invoice from a heat pump installer showing:
  - installation address
  - installer company name
  - outdoor and indoor equipment model numbers
  - integrated control model numbers, if applicable.
- Whole-home heat pump verification form signed by you and your installer, if the heat pump system installed is sized to be capable of being the sole source of heating in the residence, and there are fewer than 5 living units on the property.
  - Note that individual living units in residential 5+ unit complexes on common property, including 1-4 unit buildings that are part of larger complexes on common property, are not eligible for whole-home rebates but are eligible for partial-home rebates. The whole-home heat pump verification form is not required for partial home rebate applications.

For help, contact CMLP's Energy Efficiency & Electrification Coordinator, Jan Aceti, at jaceti@concordma.gov or 978-318-3151.

Customer Name*

First NameLast Name

Customer E-mail*

Customer Phone Number*

Installer Company Name*

Installer Email*

example@example.com

Installer Phone Number*

Installation Address*

Previous Primary Heating Type*

Number of Living Units on Property*

Note: Individual living units in residential 5+ unit complexes on common property, including 1-4 unit buildings that are part of larger complexes on common property, are not eligible for whole-home rebates but are eligible for partial-home rebates.

Square Footage of Building*

Provide the square footage of the whole home, even if the heat pump is serving just part of it, such as a room or a floor. If the living unit is in a multi-unit building, provide the square footage of the living unit. If the heat pump is being installed in an outbuilding on the property, provide the square footage of the outbuilding. Need sq. ft. for your building? Go to https://gis.vgsi.com/concordma/Search.aspx

Was the building built before 2008?*

How will you fulfill the rebate program's home energy assessment requirement? (Select one)

Completed or scheduled home energy assessmentCompleted Energy Saver Home Loan Program decarbonization plan

Date of Completed or Scheduled Home Energy Assessment

An energy assessment within the last three years or scheduled within six months after project completion is required for projects involving homes built before 2008. If you may have had an audit through CMLP, but don't know the date, contact Energy New England at 888-772-4242 or hea@ene.org for help. This field may be left blank for outbuildings, which are exempt from the energy assessment requirement.

Energy Saver Home Loan Program decarbonization plan*

Heat Pump Rebates

Rebate not to exceed project cost. A customer is eligible for a maximum of $10,000 in air-source or air-to-water heat pump rebates or $15,000 in ground-source heat pump rebates per service address per calendar year for equipment installed in that calendar year. Review the "Heat Pump Rebate Amounts and Equipment Eligibility Criteria" section at Heat Pump Rebates for Your Home to ensure that your project meets eligibility criteria and any special requirements for the rebates below.

Equipment Type*

Type of Rebate Requested*

Note: An outbuilding is shown in the Outbuilding section of a property record in the Town of Concord’s online assessment database

How much of the building's heat will the NEW heat pump(s) provide?*

Note: Choose "90% or more (sole source)" only if the NEW heat pump system is sized to meet at least 90% of the total heating load at an 8F outdoor design temperature, per ASHRAE 2021 Design Conditions, throughout 100% of the building's square footage, as entered above.

Which heating type will provide the remainder of your heating needs?

Equipment Installed*

	AHRI Certified Reference # (Example: 206395976)	AHRI Cooling Capacity BTUs (Example: 34,200)	AHRI Cooling Capacity in Tons* (Example: 2.85)
Heat Pump System 1
Heat Pump System 2
Heat Pump System 3
Heat Pump System 4

*Tons are calculated based on AHRI cooling capacity divided by 12,000 BTUs. Enter tons rounded to two decimal points. Example: 47,000 BTUs of cooling capacity=3.92 tons. Rebate amount is based on tons.

Integrated Control Model #

Switchover Temperature (°F)

Project Cost*

Installation Date

The installation date is the date that the installation was completed, inclusive of any additional work needed in order for the project to pass Abode Energy Management's quality assurance check.

Please Note: The project electrician must obtain an electrical permit online prior to installation, and schedule an inspection by the Town's electrical inspector after the work is complete. If the project requires sheet metal ducting work that goes beyond minor repairs, a sheet metal permit must have been obtained, and an inspection scheduled. The project must pass all relevant inspections to be eligible for a rebate. More information about Town of Concord Building Department permits and inspections can be found in the Quality Assurance Section of CMLP's Heat Pump Rebates for Your Home page.

Date of Electrical Inspection Approval*

Subject to verification by CMLP

Electrical Inspection Approval

Did this project have sheet metal duct work beyond minor repairs? Examples are installing new ducting, or replacing, changing, or significantly repairing existing ducting.*

Date of Sheet Metal Inspection Approval

Subject to verification by CMLP

Rebate Amount Requested*

If the rebate amount requested is over $750, would you prefer a bill credit or a check?

Any rebate of $750 or less is issued as a credit on your electric bill. If a customer requesting a check has been in arrears frequently in the past two years, CMLP may apply all or part of the rebate as a bill credit rather than as a check.

Is the rebate payment address the same as the installation address?

YesNo

Payment Address

Required Documents:

Invoice from Heat Pump Installer*

Whole-Home Heat Pump Verification Form*

Additional Comments (if any)

Identity of Submitter*

Acceptance of Terms and Conditions*

Click "Save" if you wish to continue working on the form later.

Click "Submit" to apply for a rebate.

CMLP's 90-day rebate application window begins on date of the post-installation Quality Assurance (QA) form approval. The form can be found in the "Quality Assurance" section of CMLP's "Heat Pump Rebates for Your Home" webpage, and must be reviewed and approved by CMLP.

Projects for which CMLP does not receive a rebate application within the 90-day window are not eligible for a rebate.

If an application received by CMLP is incomplete or has not met all of the rebate requirements, CMLP may reach out once to the installer and to the customer by both phone and email. If outstanding issues are not resolved within 30 days of the communication, the project will no longer be eligible for a rebate.

CMLP's liability is limited to paying the rebate for which the project is eligible. CMLP is not liable for any consequential or incidental damages or for any damages in tort connected with or resulting from participation in this offer.

2024 Residential Heat Pump Rebate Application

Customer Information

Installer Information

Project Site Information

Heat Pump Rebates

Project Information

Permit Information

Payment Information