Invoice Form

This form is to change the status of a project. Both the Initial Invoice/Contract and Final invoice can be submitted for the Lansing NPA incentive.

Name *

First

Last

Name of person submitting this form

Email *

Email of person submitting

Project Address *

Example: 3 Loop Ln.

Contractor? *

Halco/Snug Planet
Dailey Geothermal
VanHee Mech.

Submission Type *

Initial Contract/Invoice
Final Invoice

Services Provided *

Audit
ASHP
GSHP
HPWH
Gas Replacement

Check all that apply. ASHP, GSHP and HPWH require removal of gas appliance. Gas replacement is only a reduction of equipment size.

Contract Total *

Total before incentives

Contract *

Click or drag a file to this area to upload.

Upload contract signed by homeowner (.pdf, .doc or .docx files only)

Initial Invoice *

Click or drag a file to this area to upload.

Please upload the initial invoice for 45% of the Lansing NPA total incentive. (.pdf files only)

Final Invoice *

Click or drag a file to this area to upload.

Please upload the final invoice for 45% of Lansing NPA total incentive. (.pdf files only)

New Gas Name *

The name of the replaced gas appliance (e.g. Furnace)

New Gas Input Rating (BTU/HR) *

This appliance must follow Residential Rebate Program qualifying equipment list requirements. NYSEG High Efficiency Natural Gas Equipment list.

i.e. Water Boiler AFUE >= 94 or Air Furnace AFUE >= 96 with EC Fan Motor.

New Gas Replacement Upload *

Click or drag files to this area to upload. You can upload up to 3 files.

Upload image of nameplate showing gas Input rating (BTU/HR) of the new gas appliance.

Audit Documentation Upload *

Click or drag files to this area to upload. You can upload up to 2 files.

When only Home Performance Improvements are performed an estimate of Peak Load Reduction must be submitted to calculate the incentive amount (Existing Load and New Load).

Completion Images *

Click or drag files to this area to upload. You can upload up to 6 files.

Submit Clean Heat Images