Pre-Qualification Rebate Form | Energy Efficiency Rebate Program | WNY Businesses | National Fuel Gas Company

2026 Non-Residential Pre-Qualified Rebate Application

2026 Non-Residential Pre-Qualified Rebate Application

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Fill out the information below to get your 2026 rebates from National Fuel’s Energy Efficiency Rebate Program.

    Non-Residential Energy Efficiency Rebate Program Application

    Pre-Qualified Incentives

    1. Complete the National Fuel Non-Residential Conservation Incentive Program Application; review the terms and conditions and sign the application form.

    2. Include the following items:

      *required

      *required

      *required

      *required

    3. Submit this application and supporting documents online. If desired, you can mail the supporting documents to:

      C.J. Brown Energy, P.C.

      4245 Union Road, Suite 204

      Buffalo, NY 14225

      Attn: Non-Res Rebate

      Email: NFRebateHelp@cjbrownenergy.com

      Phone:1-844-365-3493

    Applicant Information

    All fields must be completed. Payment will be issued to the applicant.

    *required

    *required

    *required

    *required

    *required

    *required

    *required

    *required

    Facility Information

    Location where conservation measures were installed (if different from above).

    *required

    *required

    *required

    *required

    *required

    *required

    *required

    *required

    Utility Information

    *required

    Project Description

    *required

    *required

    Agreement to Terms and Conditions

    Applicant Information

    *required

    *required

    *required

    *required

    *required

    Facility Information

    Required unless same as applicant

    *required

    *required

    *required

    *required

    Completing the Natural Gas Efficiency Measure Worksheets

    • Fill in the appropriate fields for individual natural gas efficiency measures.

    • To calculate the Total Incentive for each measure, multiply the Count (quantity of installed equipment) by the Unit Incentive and enter this amount in the Total Incentive column.

    • Enter the sum of the Total Incentive for each category on the summary worksheet and add these Total amounts together for the Grand Total amount on the last line.

    Be sure to include:

    1. *required

    2. *required

    3. *required

    4. *required

    Questions regarding the process, incentives, or requirements? Contact a C.J. Brown representative at NFRebateHelp@cjbrownenergy.com or call 1-844-365-3493.

    General Eligibility Requirements for Natural Gas Efficiency

    Is this a fuel conversion?*

    *required

    *required

    Does this replace existing equipment?*

    *required

    If yes, list equipment and age of equipment below.*

    Equipment Type

    Estimated Age of Equipment

    Input from Equipment Nameplate (Btu/hr)

    Output from Equipment Nameplate (Btu/hr)

    Rated Efficiency (Optional, in AFUE or Equivalent)

    Add Additional Equipment

    Natural Gas Air Furnace Incentive Table

    Measure Code

    Unit Incentive

    Minimum Efficiency

    AF-3

    $5/MBtu/h

    ≥ 95% AFUE

    *MBtu/h = 1,000 Btu/h

    Natural Gas Unit Heater Incentive Table

    Measure Code

    Description

    Unit Incentive

    Minimum Efficiency

    UH-i

    Low-intensity, infrared natural gas-fired heater

    $2.50/MBtu/h

    Any efficiency

    UH-a

    Natural gas-fired air unit heater

    $2.00/MBtu/h

    ≥ 90% Eₜ or AFUE

    *MBtu/h = 1,000 Btu/h

    Natural Gas Air Furnace and Unit Heater Data Collection Table

    Measure Code

    Manufacturer

    Model Number

    (A) Input Capacity (MBtu/h)

    Efficiency (AFUE or Eₜ)

    (B) Count

    (C) Incentive/Unit

    Total Incentive (A x B x C)

    Add Additional Equipment

    (enter total in 'Individual Measure Incentive Totals')

    Natural Gas Condensing Hot Water Boiler Incentive Table

    Measure Code

    Incentive/Unit

    Eligibility Criteria - MBtu/h

    Eligibility Criteria - Efficiency

    CB-1

    $1,000.00

    ≤ 300

    ≥ 90% AFUE

    CB-2

    $1,500.00

    301 - 500

    ≥ 90% Eₜ

    CB-3

    $2,500.00

    501 - 1,000

    ≥ 90% Eₜ

    CB-4

    $3,500.00

    1,001 - 1,700

    ≥ 90% Eₜ

    CB-5

    $4,500.00

    > 1,700

    ≥ 90% Eₜ

    *Qualifying equipment must fit within the appropriate size range for input capacity (MBtu/h)

    *MBtu/h = 1,000 Btu/h

    Natural Gas Steam Boiler Incentive Table

    Measure Code

    Incentive/Unit

    Eligibility Criteria - MBtu/h

    Eligibility Criteria - Efficiency

    SB-1

    $2/MBtu/h

    ≤ 300

    ≥ 82% AFUE

    SB-2

    $1/MBtu/h

    301 - 2,500

    ≥ 79% Eₜ

    SB-3

    $1/MBtu/h

    > 2,500

    ≥ 80% Eₜ

    *Qualifying equipment must fit within the appropriate size range for input capacity (MBtu/h)

    *MBtu/h = 1,000 Btu/h

    Natural Gas Boiler Data Collection Table

    Measure Code

    Manufacturer

    Model Number

    Input Capacity (MBtu/h)

    Efficiency (AFUE or Eₜ)

    (A) Count

    (B) Incentive/Unit

    Total Incentive (A x B)

    Add Additional Equipment

    (enter total in 'Individual Measure Incentive Totals')

    Air Curtain

    Measure Code

    (A) Count

    Project Cost

    Areas of the Doorway in sq. ft.

    Daily Run Hours of Air Curtains

    Number of Days Heating Required

    (B) Incentive/Unit

    Total Incentive (A x B)

    AC-1

    $2,500/doorway

    Demand-Control Ventilation Data Collection Table

    Measure Code

    Area of Conditioned Space

    Manufacturer and Model Number

    (A) Count

    (B) Incentive/Unit

    Total Incentive (A x B)

    HE-6 (DCV)

    $200/sensor

    (enter total in 'Individual Measure Incentive Totals')

    Duct Insulation Data Collection Table

    Ductwork for heating systems that utilize gas combustion equipment only. Insulation R-value greater than or equal to 6.

    Measure Code

    Incentive (A)

    Total Length of Duct Insulated and Sealted (ft.) (B)

    Length of Duct Insulated and Sealed in Unconditioned Space (ft.)

    Duct Location¹

    Duct Leakage Testing - Pre-seal Result (%)

    Duct Leakage Testing - Post-seal Result (%)

    Project Cost

    Total Incentive (A x B)

    HE-4

    $7.25 per ft. installed

    ¹Choose: Attic, Garage, Crawl Space (Unvented & Uninsulated), Crawl Space (Unvented & Insulated Building Floor and Crawl Space Walls), Crawl Space
    (Unvented & Insulated Building Floor Only), Crawl Space (Vented & Uninsulated), Crawl Space (Vented & Insulated Building Floor and Crawl Space Walls),
    Crawl Space (Vented & Insulated Building Floor Only), Basement (Uninsulated), Basement (Insulated Walls), or Under-slab.

    Pipe Insulation Data Collection Table

    For piping tied to gas combustion equipment only. Insulation R-value greater than or equal to 4. Incentives cannot exceed 50% of the project cost.

    Measure Code

    Measure

    Incentives (A)

    Pipe Material

    Pipe Diameter (in.)

    Insulation Material

    Insulation Thickness (in.)

    Length of Pipe Insulated (B)

    Project Cost

    Total Incentive (A x B)

    HE-3

    Pipe Insulation (Domestic Hot Water)

    $2.00 per ft.installed

    HE-3

    Pipe Insulation (Steam Heat)

    $2.00 per ft.installed

    HE-3

    Pipe Insulation (Hot Water Heat)

    $2.00 per ft.installed

    Accessory Equipment Data Collection Table

    Measure Description

    Measure Code

    (A) Count

    (B) Incentive/Unit

    Total Incentive (A x B)

    Connected Thermostat or ENERGY STAR™ Rated Smart Thermostat²

    TH-2

    $200.00

    ²A Connected Thermostat is a Wi-Fi communicating and analytics capable thermostat that combines the scheduling capabilities of a programmable thermostat with wireless
    connectivity, allowing users to remotely monitor and adjust temperature settings via a smartphone, tablet or computer. Eligible Connected Thermostats must also include additional energy savings features such as usage coaching, HVAC system diagnostics, geo-fencing and comparative information. An ENERGY STARTM certified Smart Thermostat includes all features of a Connected Thermostat along with the ability to perform automatic adjustments in response to occupancy behavior.

    Grand Total Natural Gas Efficiency Incentive Requested $

    Rebate cap of $50,000 per project for Conditional Neutral Measures and $100,000 per project for Strategic Measures, not to exceed $150,000 per project year.

    Gas Combustion Equipment Significant Efficiency Gain

    Gas combustion equipment will be considered to have a significant efficiency gain in retrofit applications if its performance meets one of the following criteria:

    Domestic hot water (DHW) production or steam or hot water space conditioning:

    ≥ 5% improved AFUE or thermal efficiency over minimum standard?*

    *required

    *required

    ≥ 5% improvement over the rated efficiency of the existing equipment or as determined by a combustion efficiency test?*

    *required

    *required

    *required

    Is the proposed equipment the most efficient currently available on the market, based on appropriate technology for the application?*

    *required

    Forced air space conditioning:

    ≥ 10% improved AFUE or thermal efficiency over minimum standard?

    *required

    *required

    ≥10% improvement over the rated efficiency of the existing equipment or as determined by a combustion efficiency test?*

    *required

    *required

    *required

    Is the proposed equipment the most efficient currently available on the market, based on appropriate technology for the application?*

    *required

    Other process equipment:

    ≥10% improvement over the rated efficiency of the existing equipment or as determined by a combustion efficiency test or other formal energy analysis?*

    *required

    *required

    *required

    Is the proposed equipment the most efficient currently available on the market, based on appropriate technology for the application?*

    *required

    Building Characteristics

    Is the building built before 1979 and does it use steam or radiant/thermal equipment (such as baseboard or conventional radiators) that requires high temperature (greater than 140°F) water for internal space heating distribution?

    *required

    *required

    Are there building spatial constraints where the building can show they do not have enough space for additional mechanical equipment (e.g., on their roof or grounds for condenser units required for various heat pump systems)?

    *required

    *required

    Are there Structural Capacity constraints where the building does not have the ability to support the equipment necessary
    for electric full-load space heating applications (additional mechanical or electrical equipment loading required for electrification)?

    *required

    *required

    Is there existing radiant or terminal equipment (like baseboards or conventional radiators) that cannot operate efficiently without
    major upgrades, such as replacing all piping or radiators throughout the building, in order to be supplied by heat pump equipment?

    *required

    *required

    Building Use

    Are there higher thermal load or process heating requirements for which electric alternatives are incapable of meeting the needs
    of the building or process (e.g., manufacturing facilities, commercial food establishments, laboratories, car washes, laundromats,
    hospitals and other medical facilities, critical infrastructure such as emergency management facilities, wastewater treatment facilities,
    water treatment and pumping facilities, agricultural buildings, fuel cell systems, crematoria, etc.)?

    *required

    *required

    Does this facility have additional reliability requirements or mandates for backup systems (e.g., municipal facilities, nursing homes,
    universities, schools, hospitals, etc.)?

    *required

    *required

    Terms and Conditions

    1. To be eligible for a rebate, Customer understands that: (a) they must have an active meter serviced by National Fuel Gas Distribution Corporation
      (“National Fuel”) in National Fuel’s Western New York service territory for the installation address and, (b) the product(s)Customer has installed
      must qualify as described on the Rebate Application Form, incorporated herein by this reference, and be designed and installed to reduce the
      consumption of the energy distributed to them by National Fuel at the installation address. Customer understands they must complete an application
      for each installation address. For installations at locations with multiple meters, please attach a separate sheet indicating gas account number and/
      or meter number with eligible equipment for that account number or meter. All uses herein of the words “install,” “installation” or similar phrases shall
      mean complete installation such that the subject product(s) is/are fully functional at the time that the rebate application is submitted.

    2. All eligible measures must be installed by a licensed contractor, or a contractor that can supply you with either a Federal ID number, or a Business Certificate

    3. A rebate cap of $50,000 per program year for "Conditional Neutral" incentives and $100,000 for "Strategic" incentives, not to exceed $150,000 in
      total incentives.

    4. Resale products, products leased, rebuilt, rented, received from insurance claims, won as a prize, or new parts installed in existing products do not
      qualify. All applications are processed on a first-come, first-served basis, as received. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
      Resubmitted information/documentation is processed on a first-come, first-served basis, based on a new receipt date. This program may be
      modified or terminated at any time without prior notice.       In the event that the amount of a rebate changes during the course of the program, the
      installation date will be used to determine product eligibility and rebate amount.

    5. For Performance Based rebate, Customer acknowledges the application must be submitted 90 days prior to contracting the project, and prior to any
      demolition, removal of existing equipment, or installation of new equipment

    6. For the Pre-Qualified rebate, the Customer acknowledges that those seeking reimbursement must apply within 90 days of signing the application,
      and applications for the Pre-Qualified projects must be submitted within 90 days of installation.

    7. Customer will allow, if requested , a National Fuel representative reasonable access to the install address to verify the product has been purchased
      and is installed before a rebate is paid. Customer understands that a rebate will not be paid if they refuse to participate in any required verification.
      Customer understands that National Fuel may contact the qualifying product vendor and/or installer, if needed, to verify purchase and/or installation
      and may provide Customer’s name and/or address to complete this verification.

    8. Customer has installed a qualifying product(s) and understands the energy efficiency level of the qualifying product(s) determines the rebate amount
      (as defined in the Rebate Application Form). A single gas-fired piece of equipment that provides two functions (e.g., heat and hot water) is only
      eligible for one rebate, that being the higher rebate amount of the two listed amounts. The rebate amount cannot exceed the cost of procurement
      and installation of the qualified product.

    9. Customer agrees that the selection of qualifying product(s), selection of manufacturer, dealer, supplier and/or installer, and purchase, installation and
      ownership/maintenance of the qualifying product(s) referenced in this Application are their sole responsibility, and that their manufacturer, dealer,
      supplier or installer of these products and measures is not an agent or representative of National Fuel. Customer understands that National Fuel
      makes no representations regarding manufacturers, dealers, contractors, materials or workmanship. CUSTOMER ALSO UNDERSTANDS THAT
      NATIONAL FUEL MAKES NO WARRANTY WHETHER EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION THE IMPLIED WARRANTIES
      OF MERCHANTABILITY AND FITNESS FOR ANY PARTICULAR PURPOSE, USE, OR APPLICATION OF THE PRODUCTS OR MEASURES.
      Customer agrees that National Fuel has no liability whatsoever concerning (1) the quality, safety and/or installation of the products or measures,
      including their fitness for any purpose, (2) the estimated energy savings of the products or measures, (3) the workmanship of any third parties, or
      (4) the installation or use of the products or measures including, but not limited to, effects on indoor pollutants, or (5) any other matter with respect
      to the National Fuel Energy Efficiency Rebate Program. Customer waives any and all claims against National Fuel, its parent companies, directors,
      officers, employees, or agents, arising out of activities conducted by or on behalf of National Fuel in connection with their application for any
      rebate(s) under the National Fuel Energy Efficiency Program. Without limiting the generality of the foregoing, none of the above stated parties shall
      be liable hereunder for any type of damages, whether direct, indirect, incidental, consequential, exemplary, reliance, punitive or special damages,
      including damages for loss of use regardless of the form of action, whether in contract, indemnity, warranty, strict liability or tort, including negligence
      of any kind.

    10. Customer is responsible for meeting all program requirements and complying with their state/county/city governments, property owner and/
      or homeowner’s association requirements (if any) in my area regarding local conditions, restrictions, codes, ordinances, rules, and regulations
      concerning this installation.

    11. If Customer’s property is not owned by Customer, Customer is solely responsible for obtaining the property owner’s permission to install the product
      for which they are applying for a rebate. Customer’s signature on this application indicates they have received such permission.

    12. I understand that National Fuel is not responsible for items lost or destroyed in the mail/transit.

    13. Customer of National Fuel agrees and authorizes the utility’s sharing of the participant-customer’s information and/or project-level information with
      New York State Department of Public Service Staff and NYSERDA, including its agents or authorized representatives, consistent with NYSERDA’s
      New York State Public Service Commission and statutorily authorized responsibilities, including, but not limited to supporting market development
      initiatives, and other evaluation and measurement activities. (For clarity, the term project level includes the information based on the scope of the
      project, including, but not limited to, aggregated and anonymized whole building, building or subsets of the project.)

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    .fd528b22-8814-48b4-8d0e-3983b772f580{fill:#00b2e2;} Is this for your home or business?

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