Fixed Incentive Application Form

For use by Customer / Builder or Contractor claiming an incentive for a single installation address. If you are applying for multiple addresses, email your completed and signed Fixed Incentive Application Form and Multi-Address Application Form with proof of purchase and installation to energyservices@enbridge.com.

For full details on the incentives available, view our brochure online. Should you have any questions regarding the status of the incentive claim, please contact us at energyservices@enbridge.com.

Customer / Builder Information

Step 1 of 4

Customer Information

Project Type *

Installation Information

Step 2 of 4

Installation Information

Important: If you are applying for multiple installations/locations, you will need to fill out the Multi-Address Application Form above.



We have a documented preventative maintenance program where the CO2 sensors are inspected and adjusted as required annually (DCV ONLY)

Enbridge Account Information

Equipment Information


Description / Offer (Incentive values displayed as [Customer/Builder $ | Contractor $])


Ownership *

End Use (Check all that apply)

Contractor Information

Step 3 of 4

Contractor Information

Required to receive the contractor portion of the incentive.


Agreement

Step 4 of 4

Agreement Details

By filling in the details below, I agree to the terms and conditions applicable to these incentives. I confirm that I have the authority to apply for the incentive on behalf of the recipient(s) and to bind the recipient(s) to the applicable terms and conditions. If I have also claimed a contractors incentive payable by Enbridge, I confirm that I have made the customer aware of this incentive. Where applicable, I confirm the technology meets the Technical Requirements applicable to the measures.

Please indicate if the name provided is the


TERMS AND CONDITIONS

All incentive offers are available to Enbridge Gas Distribution Inc., Ontario customers. The customer must be the owner of the applicable energy efficient equipment. Enbridge account must be in good standing. Incentive offers available between January 1, 2018 and December 7, 2018 (natural gas equipment must be installed by November 23, 2018). To receive any incentive, a completed Fixed Incentive Application Form and proof of purchase matched to the installation address must be provided to Enbridge no later than December 7, 2018. Enbridge is not responsible for lost mail or mail disruptions. Allow 10 to 12 weeks for delivery of payment. All Fixed Incentives are paid on a per unit basis unless otherwise indicated. Programs and incentives may be subject to change or cancellation without notice at any time. Enbridge makes no representation, warranty or guarantee regarding the projected savings of any energy efficiency measure or performance of installed equipment. Enbridge reserves the right to independently verify application information and confirm installation. Showerhead Incentive applies to the replacement of standard showerheads (with a flow rate of 2.5 GPM or greater) in existing multi-family residential buildings that use natural gas for water heating. Replacement low-flow showerheads must have a flow rate of 1.5 GPM or less. Existing showerhead flow rate testing is required for a minimum of 10% of the total number of residential suites. Additional Terms and Conditions apply. Capitalized terms used in this form, and not otherwise defined herein, have the meaning set out in the Enbridge "Fixed Commercial and Industrial Contractor Incentives" brochure for the calendar year in respect of which this application form is submitted.