Commercial-EEIRP

Energy Efficiency Rebate Program

Commercial and Industrial Rebate
City of Shelby

Commercial and Industrial
Energy Efficiency Incentive Rebate Program
Application Date *

Month Day Year
Date
Customer Information
Electric Customer Utility Account Number *
7 to 9 digits include * from your electric bill.
Company Name *
Street Address *

Street Address only

Street Address Line 2
Equipment Information
Energy Star Products (max 10 per form) *
Copy of paid invoices and Engineers estimated kWh savings documentiation

Upload a File
Required for rebate but not for submission Cancel of
Cost of Energy Efficient Equipment *
Enter Total cost of All equipment from list
Equipment Cost x .05
Auto Rebate Calculation
Company Represenitive
Projected kWh savings must be verified by a company representative.
Authorized Company Represeantive *

First Name Last Name
Email Address *
Phone Number *

Area Code Phone Number

Paid invoices are needed for rebate approval.

You may upload all required images above, mail them or drop them off at the Utility Office.

Utility Office

23 East Main Street

Shelby, OH 44875

Open Monday through Friday, 8:00 am to 4:30 pm

Email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed
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