1. Enter your First and Last Name:

2. Enter a valid email address:

3. Please provide your zip code.

4. Do you have a free-standing wood stove OR a wood-burning fireplace insert used for heat?

5. Applicant must be the owner of the residence where the wood heater will be replaced. Are you the homeowner (or applying on behalf of the homeowner)?

6. This program offers funding for electric heat pumps only. Do you intend to install an electric heat pump in your home? And will you obtain a quote prior to applying?

7. Do you agree to pay the project costs directly and be reimbursed later?