THE UTILITIES BOARD OF THE CITY OF ONEONTA














NATURAL GAS TANKLESS WATER HEATER














REBATE PROGRAM




























Thank you for choosing a natural gas water heater. To receive your rebate, you and you contractor must complete this
form. This form must be accompanied with a copy of a receipt or invoice for your water heater and a receipt or
work order for installation from your contractor. Take the preceding items to the Utilities Board office at 105 High
School Street. Office hours are Monday through Friday, 8 a.m. to 4:30 p.m. Shorty after returning this form, physical
verfication of the installed natural gas water heater may be required. If so, a Utilities Board representative will contact you.



















I REQUEST A REBATE IN THE AMOUNT OF $300.00 FROM THE UTILITIES BOARD OF THE CITY OF
ONEONTA FOR THE PURCHASE OF A NEW NATURAL GAS TANKLESS WATER HEATER . I CONFIRM
THAT I HAVE PURCHASED A NEW NATURAL GAS TANKLESS WATER HEATER AND IT HAS BEEN
INSTALLED AT THE ADDRESS SPECIFIED BELOW.














Customer Information




























Customer Name:




Customer Signature:














































Date:




Phone #














































Mailing Address:




Service Address:














































City/State/ZIP:




City/State/ZIP:
































Contractor Information

Account Number



























Application Number


























Appliance Installing Contractor's Name:
Service Line Number



































Check Number













Contractor's Signature:













Date of Check



































Installation Verified By
Phone Number:

Alabama Plumber or Gasfitter








Certification Number:












































































The Utilities Board of the City of Oneonta




























Tankless Water Heater Rebate
Terms and Conditions














1) The tankless water heater you are requesting a rebate for must be a new natural gas tankless water
heater and not originally a liquefied propane tankless water heater that has been converted or modified
to utilize natural gas.


2) The tankless water heater must be installed by a State of Alabama Certified Natural Gas Fitter or
Certified Plumber in accordance with the International Fuel Gas Code.


3) The rebate form must be completed by you and your installing contractor.


4) You must include with the rebate form a receipt for the purchase of the tankless water heater and an
installation receipt from the contractor that installed the tankless water heater.


5) The Utilities Board of the City of Oneonta may require a physical verification of the tankless water heater
installation. If so, a Utilities Board representative will contact you to set up a meeting at the location of
the installed tankless water heater.






































































By signing below you acknowledge and confirm that you have read and accept the terms and
conditions for this rebate.
























































Customer Signature








Date


































































































































































































































Checklist Before Coming to Utilities Board's Office:












1) Completed Water Heater Rebate Form






2) Signed Water Heater Rebate Terms & Conditions






3) Appliance Receipt






4) Contractor/gas fitter receipt for installation






5) Valid Identification: Driver's License






6) Social Security Card













Download Rebate Form.
Download Adobe pdf and print form on your home printer.