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

Dual-Fuel Heat Pump Contractor Participation Form

Business Name(Required)

Business:

Contractor's 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: 512 MB.

Max. file size: 128 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.

Security Check

Dual-Fuel Heat Pump Contractor Participation Form

Dual-Fuel Heat Pump Contractor Participation Form

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