Compressed Air Audit Rebate Form

Compressed Air Audit

Business and/or building undergoing audit of compressed air lines must be on cooperative’s lines.
Incentive not to exceed the cost of the audit, up to $500.
Audit must be performed by a Professional Engineer, Certified Energy Auditor, or a cooperative pre-approved partner.
Incentives are in place through December 18, 2026. Funds are limited so submit required documentation as soon as possible.
Required documentation must be submitted within 3 months of audit date.
Additional eligibility criteria may apply. Program is subject to change or cancellation without notice. Contact cooperative for details.
Required documentation listed below must be submitted no later than 3 months after the audit date.
1. This incentive form
2. Copy of the audit documentation
If all required information AND documentation are not provided, rebate will be rejected immediately.

Applicant Information

First

Last

Address

City/Town

State/Province

ZIP/Postal Code

Is your mailing address different from your service address?

Account Number

Member Type

Member Email Address

Member Phone Number

Address

City/Town

State/Province

ZIP/Postal Code

Date of Audit

Performed By:

Professional Engineer

Certified Energy Manager

Auditor Name

Auditor Phone Number

Auditor Email Address

Describe the Energy Efficiency Steps Taken:

Total Incentive Amount Requested

Required Documents (Receipt or invoice & Proof of Install)

Equipment cost and date purchased MUST be visible on receipt or invoice.

Unlimited number of files can be uploaded to this field.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.

Applicant Signature

Sign above