Rebate Application & Information

E F F I C I E N T A P P L I A N C E S S A V E Y O U M O N E Y

We offer rebates for new ENERGY STAR® qualified clothes

washers, dishwashers, refrigerators and freezers that are
installed in new or existing homes or businesses within our
service area.
New Appliances

To see a current list of ENERGY STAR qualified appliances,

please visit www.energystar.gov.

Step-by-Step Procedure
1. Purchase an ENERGY STAR qualified appliance
from the dealer of your choice.
2. Complete and submit this rebate application,
along with a copy of your sales receipt and the
yellow Energy Guide tag that was attached to the
appliance. To qualify, the Energy Guide should
include the ENERGY STAR logo as shown here.
3. We will process your application within three
weeks. If it is approved, we will credit your
account. If it is not approved, we will mail you a
letter explaining why.

Rebate Amounts
• Clothes washer - electric hot water heater - $75
• Clothes washer - gas, propane or oil hot water heater - $25
• Dishwasher - $25
• Refrigerator or Freezer - $25

Oregon Tax Credits Available

Columbia River PUD
Energy Experts Oregon Residential Energy Tax Credits for premium efficiency appliances range from
PO Box 1193 $60 to $180. To qualify for a tax credit, you must either have Oregon income tax
St. Helens, OR 97051 liability or be willing to transfer the credit to an Oregon resident who does.
64001 Col. River Hwy
Deer Island, OR 97054 In some cases, the efficiency standard required for a state tax credit may be greater
(503) 366-5470 phone than ENERGY STAR standards. Therefore, not every appliance that earns the ENERGY
(503) 397-5215 fax
STAR will qualify for a tax credit.
www.crpud.net
experts@crpud.org For more information or to apply for tax credit, contact the Oregon Department of
Energy at (800) 221-8035 or visit http://www.oregon.gov/energy.
Instructions: Information about you & your home:
Complete and sign this Name: _________________________________ Daytime Phone: _______________________
application.
Mailing Address: ______________________________________________________________
For your rebate to
be processed, you City: ________________________________ State: _____________ Zip: _______________
must attach a copy Address where appliance is installed: _____________________________________________
of your sales receipt
or invoice that shows City: ________________________________ State: _____________ Zip: _______________
the brand and model Owner Occupied ___ Rental ___
of the appliance you
purchased. Site Built ___ Manufactured ___ Year Built _________

Mail completed form to: Dwelling Type: Single Family ___ Multi-Family ___ Apartment ___ Other _________

Energy Experts Water heating fuel: Electricity ___ Natural Gas ___ Propane ___ Oil ___
PO Box 1193
Clothes dryer fuel: Electricity ___ Natural Gas ___ Propane ___ Oil ___
St. Helens, OR 97051
Space heating fuel: Electricity ___ Natural Gas ___ Propane ___ Oil ___ Wood ___
or Deliver to:
64001 Col. River Hwy
Deer Island, OR 97054 Information about the new appliance(s) you purchased:
Contact us at: Clothes washer:
experts@crpud.org Brand: ______________________________ Model #: ____________________________
(503) 366-5470 phone
(503) 397-5215 fax Where Purchased: ________________________ Date Purchased:____________________

Dishwasher:
Brand: ______________________________ Model #: ____________________________
Where Purchased: ________________________ Date Purchased:____________________

Refrigerator:
Brand: ______________________________ Model #: ____________________________

FOR PUD USE ONLY Where Purchased: ________________________ Date Purchased:____________________

CWE (75) _______ Freezer:

CWG (25) _______ Brand: ______________________________ Model #: ____________________________

DW (25) _______ Where Purchased: ________________________ Date Purchased:____________________

R (25) _______
F (25) _______ By signing below, you acknowledge that:
Account #: • You have purchased the appliance(s) described above for installation at the location
______________________ indicated. You understand that Columbia River PUD or its designated representative
reserves the right to inspect or otherwise verify installation of the appliance.
• You purchased the new appliance(s) described above on or after January 1, 2009.
• You understand that the rebate program is a limited time offer, is subject to the
availability of funds and is subject to change without notice.

Your Signature: ___________________________________ Date:____________________

updated 05-07-09