2026 Window Reservation Form

2026 Window Reservation Form
I'm applying to Reserve a Rebate for a Qualified Window Installation for:
This is a(n):
Which Rebate Level Are You Requesting a Reservation For?
At this time window projects are only eligible for Single-Family projects.
New Construction projects are not eligible for window projects.
Utility Account Holder Information
Customer Name:

First NameLast Name
Customer Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Customer Email:
example@example.com
Installation Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Electric Utility:
Natural Gas Utility:
Contractor/Trade Ally Information
Contractor Company/Business Name:
Contractor Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Contractor Email:
example@example.com
Contractor Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contractor Autofill:
Contractor Name:
Provider/Trade Ally ID:
Provider/Trade Ally Address ID:
Payment Address ID:
Rebate Reservation

Information below must be provided to process reservation application. Number of windows is required to reserve a rebate.
Window Make:
Window Model:
Number of Windows:
Expected Installation Date:

MonthDayYear
Date
NFRC Full CPD:
We will use the Certified Products Directory Number (CPD) at the National Fenestration Rating Council (nfrc.org) to confirm the window meets the ENERGY STAR® Certification for Northern Tier.
Are there additional NFRC numbers to be provided?
Total Reserved Rebate Amount:
Rebates are available for eligible material costs and do not cover labor.
Low-Income Rebate Amount

Incentive Calculation
Reported Incentive Amount
Moderate-Income Rebate Amount
Market Rate Rebate Amount
Reservation Signature and Submission
Photos of Existing Windows

Cancelof
Upload Signed Contract, Purchase Order, or Construction Agreement

Cancelof
Preferred Email for Contractor Communications:
Reservation confirmation will be sent to the contractor preferred email and customer email addresses provided above.
Customer Email:
Acknowledgement of Terms & Conditions:
Electronic Signature:
Should be Empty:

Household Income	Rebate Per Window	Maximum Rebate Per Home
Standard Income (Above 150% AMI)	$200	$3,000
Moderate Income (Between 80%-150% AMI)	$400	$5,000
Low Income Below 80% AMI)	$600	Up to Total Material Cost

2026 Window Reservation Form

Utility Account Holder Information

Contractor/Trade Ally Information

Rebate Reservation

Reservation Signature and Submission