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Citizens Westfield Gas Rebate Application

Customer Information

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Location of Installation



Installing Contractor

If self-installing, a home inspection may be required.


Proof of Purchase

Please upload a copy of your contractor's itemized invoice or reciept if self-installing. If you take a picture, please make sure the document is well lit and in focus.


Product Information


Leave blank unless applying for a second rebate.


Terms and Conditions

By submitting this application you agree to the Citizens Westfield Gas Rebate Program Terms and Conditions.