2. 
3. Energy Efficiency Rebates

   The City of Coon Rapids may provide rebates for some energy efficiency home improvements. 

   Applicant(s) must be a resident of Coon Rapids and have already received a rebate from their utility provider. Complete all fields of the form below to apply.

5. First & Last Name(s) of ALL Property Owner(s) and/or Spouses:*
7. E-mail address*
8. Phone number*
10. Street Address:*
12. City:*
13. State:*
14. Zip:*
16. Have you had a Home Energy Squad visit in the last 5 years?*

    1. Yes
    2. No

    Learn more about Home Energy Squad

18. Date work was completed:*
    Date work was completed:

    Work must have been completed AFTER 1/1/2022

20. Passed city inspection (check one)*

    1. I have applied for a city permit and passed inspection
    2. I completed an air sealing and/or insulation project that doesn't require a city permit

    Learn more about the city permit and inspection requirement

22. Eligible rebates applied for (check all that apply):*

    1. Furnace
    2. Air conditioner or air source heat pump
    3. Water heater
    4. Air sealing
    5. Insulation
24. Total project cost*
26. Rebate total from CenterPoint Energy, Xcel Energy or Connexus Energy: *

    The City does NOT match installer or manufacturer rebates.

28. City rebate amount (50% of utility rebate):*

    $250 max rebate for furnace, air conditioner, air source heat pump, and water heater.

    $550 max rebate for air sealing and insulation.

30. Submit proof of utility rebate check:*
31. Confirm check upload:*

    1. I have submitted a copy of received rebate check from utility.
33. Submit a completed W-9 form with the property owner's information:*

    Form W-9 available here.

    W-9s are required for all payments processed by the City. If you receive more than $600 from the City in a calendar year, we issue you a 1099-misc for tax purposes.

34. Confirm W-9 upload:*

    1. I have submitted a completed W-9 form with my information.
36. Stay informed (optional)

    1. I want to stay up to date on other Coon Rapids Sustainability programs – sign me up for the Sustainability e-newsletter!
38. Government Data Practices Act – Tennessen Warning:*

    Click the box to acknowledge: The data you supply on this form will be used to process this application for which you are applying. You are not legally required to provide this data, but the City will be unable to proceed without it. The data will constitute a public record.

    1. I acknowledge the Government Data Practices Act – Tennessen Warning.
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field