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High Efficiency Clothes Washer - Residential Rebate Application 7/1/17 - 6/30/18

  1. Providing an Email address will speed up the response time to your application.

  2. Are you the property owner?*

  3. Have you previously applied for this rebate?*

    • When the completed application is approved, an appointment may be scheduled for a brief visual inspection by the City
  4. (Must be an Energy Star labeled appliance)

    • The rebate value may not exceed the actual cost of the clothes washer.
    • An original itemized dated sales receipt is required to qualify for the rebate.
    • Limit of 1 clothes washer per account every five years.
    • Application must be received within 60 days of sales receipt.
    • Compliance with attached guideline is required.
  5. The City of Modesto may deny any application that does not meet program requirements. The undersigned expressly agrees that the City may inspect all items submitted for the High Efficiency Clothes Washer Rebate Program. The City does not guarantee the performance of any clothes washer; does not warrant any clothes washer or installation to be free of defects, the quality of the workmanship, or the suitability of the premises or the clothes washer for installation. The undersigned further agrees to hold harmless the City of Modesto against all loss, damage, expense, and liability resulting from the loss, destruction or damage to property arising out of or in any way connected with installation of a clothes washer. The City reserves the right to alter this program at any time. Funding for this rebate program is limited to available resources. Rebates are processed on a first come, first served basis. For further questions, please call (209) 342-2246.

  6. Electronic Signature*

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