2026 INSULATION AND AIR SEALING REBATE SUPPLEMENTAL DATA SHEET THIS FORM MUST BE ATTACHED TO COMPLETED REBATE APPLICATION AND SUBMITTED TOGETHER. FOR PROJECTS INSTALLED BY 12/31/2026. NEED HELP? CALL 800.762.7077
HOW TO FILL OUT THIS FORM • Please refer to the insulation and air sealing section of this catalog for measure requirements and information. • Complete the table corresponding to the measure in the catalog. • Attach this form to a completed Rebate Application and submit together.
CUSTOMER INFORMATION
JOB SITE BUSINESS NAME
JOB SITE ADDRESS
TRADE ALLY NAME
N1
BUILDING ENVELOPE
PAGE 41
REBATE CODE: I4891, I10467, I4892, I4895, I10474, I4896, I10478, I10476, I10479, I4897, I10475, I4898, I4899, I4893, I10472 BUILDING NUMBER TOTAL CONDITIONED FLOOR AREA (SQ FT) FLOOR TO FLOOR HEIGHT (FT) NUMBER OF FLOORS
APPROXIMATE BUILDING AGE (YEARS)
PRE R-VALUE
POST R-VALUE
A1
4,800
10
3
20
R-19
R-19
HEATING TYPE
HEATING EFFICIENCY
COOLING TYPE
COOLING EFFICIENCY
O NG Furnace or NG Boiler
AFUE/TE O Room A/C
EER
O Central A/C or ASHP (less than 5.42 ton) O Central A/C or ASHP (5.42 ton or greater)
SEER
O Electric Baseboard or Electric Furnace
1.00
COP
EER
O Air Source Heat Pump or Package Terminal Heat Pump
HSPF O Chiller
kW/Ton
O Other O None
O Other:
Not Applicable
EXAMPLE
HEATING TYPE
HEATING EFFICIENCY
COOLING TYPE
COOLING EFFICIENCY
O NG Furnace or NG Boiler
88%
AFUE/TE O Room A/C
EER
O Central A/C or ASHP (less than 5.42 ton) O Central A/C or ASHP (5.42 ton or greater)
10
SEER
O Electric Baseboard or Electric Furnace 1.00
COP
EER
O Air Source Heat Pump or Package Terminal Heat Pump
HSPF O Chiller
kW/Ton
O Other O None
O Other:
Not Applicable
*Focus on Energy may adjust total rebate based on project caps. See measure requirements and Terms and Conditions for more information.
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