Peoples Gas Home Energy Rebate Program

To receive your rebate, please complete the form on the next page. Please allow up to 8 weeks to receive a rebate check once a completed rebate application has been received by the rebate processing center.

Please include a copy of your dated sales receipt and/or invoice showing the manufacturer, model number, and price of the qualifying product purchased. Incomplete information will delay or disqualify your rebate. All rebate request must be submitted no later than December 31, 2021.

Customer Information

Account Number
Account Holder First Name
Account Holder Last Name
Installation Address
City
State
ZIP Code

Phone
Email

Mailing Address
City
State
ZIP Code

Product Information

Product Category
Quantity
Installed By
 
 
Contractor
Contractor Name
Contractor Address
City
State
ZIP Code
Contact Name
Contact Phone

Terms & Conditions

(Please scroll through the entire Terms and Conditions document before continuing)

Details


Payment Release Authorization

ONLY complete this section if the rebate is to be paid to a THIRD PARTY. Otherwise, click Next.

Third Party Type
 
 
Payee Name
Payee Address
City
State
ZIP Code
Payee Phone

How would you like to submit your rebate application?

Please attach your supporting documentation to be uploaded.


* Indicates required document