Member Rebate Request Form

To receive your rebate in a timely manner, please fill out this form and provide all necessary documentation.  Failure to provide all of the required information will delay the process.

Questions about rebates, equipment or qualifications for rebates (including information about submitting rebates for insulation and air sealing, please contact LMREmemberservices@fesco-oh.org 

For information on commercial and industrial rebates, or questions, comments or concerns about this form, please contact KAED@fesco-oh.org 

Member Name
Member Address
Manufacturer
Type of system replaced
Heating Backup
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
Heating Backup
Type of system replaced
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
Manufacturer
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
Manufacturer
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
Manufacturer
Please upload proof of purchase that shows no less than, date purchased, thermostat info including model name and type, and purchase amount. 
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.
Manufacturer
Please upload proof of purchase that shows no less than, date purchased, thermostat info including model name and type, and purchase amount. 
One file only.
20 MB limit.
Allowed types: jpg, png, tif, pdf, doc, docx.