Commercial HVAC Pre-Authorization Request Form

Commercial Heat Pump Pre-Authorization Request Form
Let's make sure you have the right information handy.
The Heat Pump Pre-Authorization request form is to be completed by the HVAC Contractor.

Customer Information
- Primary customer contact
- Installation address
- Meter number
Planned New System

The type (single package, DHP, etc.) and size* (in tons) of planned new systems
- *If the total project is 16 tons or larger, please be prepared to provide AHRI certificates for the planned equipment.
Existing System Photos

Unless this is new construction, please provide photos for all existing systems, including the existing outdoor and indoor unit(s). For each system, please include a:
- Wide shot: Showing the equipment and its surrounding area, and a
- Nameplate: Close up showing the equipment nameplate.
Project Name
Please give your project a name that will be recognizable to you.

Contractor Information

Tell us a little bit about you!
Contractor Company Name
Your Name

First NameLast Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Contractor Email (Optional)
Is there anyone else you'd like to receive a copy of this submission? Please enter their email address.

Customer Information

Tell us a little bit about your customer.
Customer Business Name
Customer Point of Contact

First NameLast Name
Customer Phone
Please enter a valid phone number.Format: (000) 000-0000.
Customer Email
example@example.com
Installation Address

Street Address

City

Zip Code
Chelan PUD Meter Number
This helps us make sure we're looking at the right meter for this customer's energy usage data.

Let's Review
Total Heat Pump Project Size
Total project size (in tons)
This is the sum of the system size(s) you entered above. AHRI certificates for planned systems must be provided if the total project size is 16 tons or larger.
⚠ Your total planned system is 16 tons or larger! We will need a little more information about what you plan to install to help us review your request. Please click the "Back" button to upload the AHRI Certificate for each planned system if you haven't already done so.
Initial Incentive Estimate
These are initial estimates based on the existing heating type and the tonnage of the planned new system(s). Project eligibility will be reviewed by Chelan PUD as part of the Heat Pump Pre-Authorization process and is subject to change. Initial incentive estimates are not a guarantee.
Total Estimated Incentive*
*This is only an estimate based on the information provided. Chelan PUD will determine final incentive eligibility and amount.
- System 1 Initial Estimate*
- System 1 Incentive Type
- System 2 Initial Estimate*
- System 2 Incentive Type
- System 3 Initial Estimate*
- System 3 Incentive Type
- System 4 Initial Estimate*
- System 4 Incentive Type
- Ready to submit this request?
  
  Great! Once you hit "Submit" you'll receive an email for your records and we'll review your information and reach out if we need any additional information.
  
  If you have questions, please contact Customer Energy Solutions at (509) 661-8008.
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Commercial Heat Pump Pre-Authorization Request Form