Free thermostat and door sweep

Energy Saving Kit Request Form

This form allows Vera Water and Power customers to request an energy saving kit for use in their residence. Only electrically-heated home are eligible.

Comments

This field is for validation purposes and should be left unchanged.

Energy-Saving Kit Coupon Application

These kits are available for the consumer. Rental property managers do not qualify for this program.

Is your home electrically-heated?(Required)

This program is available for homes that are electrically-heated. Those heated with other fuel sources are not eligible.

Yes

Date (mm/dd/yyyy)

Vera Water and Power Customer Name(Required)

First Last

Vera Water and Power Account Number(Required)

Phone

Installation Street Address(Required)

This is the address where you will be installing these energy saving measures. This location is within Vera Water and Power's service territory.

Street Address Address Line 2 City State ZIP Code

Mailing Address

If the mailing address is different than the installation address.

Same as previous

Electric Heating System(Required)

Home Type(Required)