DIY Weatherization Rebate Form

You will receive up to $100 back (or the amount spent on weatherization materials if under $100). Only one rebate may be submitted annually, per Vermont residential electric account.

A printable form is also available. For full details and a list of the qualifying products, visit the DIY Weatherization rebate page.

Utility Account Holder

Contact Information

Rebate Payment Information

Project Information

Building Information

Upload Project Documentation

  • Receipts: Please upload receipts for all of the materials purchased for your project(s).
  • Photos: Please upload at least 1 photo per project.
  • You can add up to 10 files to this form, if you have more than 10 receipts and photos you can send them to:
Accepted file formats for uploads: BMP, DOC, DOCX, GIF, HEIC, JPEG, JPG, PNG, PDF, TIF, TIFF
Add Another Receipt or Photo

Optional Information

Terms & Conditions

Valid for purchases made 9/15/18 – 4/1/19. Submissions must be postmarked by 5/1/19. Allow up to 60 days for delivery of rebate. Incomplete or missing information will delay processing and payment. Customer eligible for rebate up to $100; Efficiency Vermont will pay the lesser of $100 or the total cost of materials, as documented via installation photos and copy of the receipt for materials. This rebate offer is subject to change without prior notice, and is subject to a limit of one rebate per Vermont residential electric utility account per year. Materials must be installed in Vermont. Efficiency Vermont reserves the right to conduct field inspections to verify installations. Limitation of liability: Efficiency Vermont does not guarantee the performance of installed materials expressly or implicitly, and will not be liable for any incidental or consequential damages of any kind in connection with the rebate program or with the installation at your premises.