SunBuilt™ Program
Solar Water Heater Rebate Application
(Only completed applications will be processed.)

Application Date: _______/_______/_______

Builder Information

Company Name: _________________________ Contact Name: _____________________________

SunBuilt Builder Pledge Level: Gold ________ Silver ________

Business Address: __________________________________________________________________

City/State/Zip Code: ________________________________________________________________

Telephone: ____________________ Fax: _____________________ Email: ____________________

Home Information
(digital photos of front of home and system installation must be submitted with this rebate application)

Lot/Address: ________________________________ City: __________________________________

Subdivision: ________________________________ County: ________________________________

Square Feet of Home: _______________________ Selling Price: _____________________________

Other energy efficiency credentials/energy efficient features (for example, EPA Energy Star, Build Smart, ACT, Gold Ring, etc.):
_____________________________________________________________________________________________

_____________________________________________________________________________________________

Solar System Information
(solar contractor invoice must accompany application)

Installation Date: ____/_____/____ System Size: Collector ________(sq ft) Storage: _______ (gallons)

System Manufacturer: ______________________ Model/FSEC System Approval #: ______________

Contractor Information: Company: ____________________ Contact: _________________________

Telephone: ____________________ Fax: _____________________ Email: ____________________

Contractor License Number: _______________________  FHBA Chapter: ____________________