Dual-Fuel Heat Pump Contractor Participation Form

To be registered on the URE website as an active dual-fuel heat pump contractor we will need the following information

Contractor Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Website Address(Required)

HVAC Products or Brands Installed(Required)

HVAC Certifications(Required)

Upload Documents (receipts, specs etc.)

Max. file size: 256 MB.

Consent(Required)

I hereby verify the information to be true and complete. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.

Contractor Representative Electronic Signature (Full Name)(Required)

URE will list your company and contact information on our website.