Self Scheduling

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CenterPoint Indiana Online Scheduling

I’d like a no-charge, personalized home energy assessment!

I'd like to reschedule or cancel my existing appointment.

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First Name *

Last Name*

Email*

Address *

Address Line 2

City *

Best Phone*

Check the box below if this is a mobile phone

Alternate Phone

Service Zip *

State *

What type of home do you have?*

Do you have a basement?

Type of Vectren Account

What type of fuel do you use to heat home?*

What type of fuel does your water heater use?*

Do you own or rent?*

Year the home was built*

Home Square Footage

How did you hear about this program?*

Did you receive a promotional code?

Do you have Wi-Fi in your home?*

Do you currently have a Nest Thermostat? *

Income Qualified - Terms and Conditions
ELIGIBILITY
This Program is valid for residential customers located in CenterPoint Energy Delivery of Indiana Inc. known as Utility Provider. In order to be eligible, customers must utilize combined natural gas and electric service from Utility Provider. Any/all direct install measures offered by this program may be installed if the Energy Efficiency Advisor determines that energy savings will result.
INFORMATION RELEASE
Customer agrees that the Utility Provider may include customer’s name, address, Utility Provider account number, Utility Provider services and resulting energy savings (“information”) in a database hosted by a contractor of Utility Provider and such information may be included in reports or other documentation submitted to Utility Provider. Utility Provider will treat such information as confidential.

If you have entered a mobile phone number or another number that you later convert to a mobile phone number, you agree that we may contact you at this number. You also agree to receive calls and messages such as pre-recorded messages, calls and messages from an automated dialing systems, or text messages. Normal mobile phone charges may apply.
APPROVAL, VERIFICATION AND INSPECTION
The Utility Provider reserve the right to verify all measures.
LIMITED TIME AND FUNDING
The program has a limited time and budget. The Utility Provider has the right to discontinue Program at any time without notice.
LIMITATION OF LIABILITY
IN NO EVENT WILL UTILITY PROVIDER BE LIABLE WHETHER IN CONTRACT, TORT (INCLUDING NEGLIGENCE), STRICT LIABILITY, WARRANTY OR OTHERWISE FOR SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES CONNECTED WITH OR RESULTING FROM PARTICIPATION IN THE PROGRAM.
DISCLAIMER/WARRANTY
Neither Utility Provider nor any of its affiliates guarantees the energy savings or makes any warranties associated with the measures eligible under this program. The Utility Provider has no obligations regarding, and does not endorse or guarantee any claims, promises, work, or equipment made, performed, or furnished by any contractor or equipment vendor that sells or installs any energy efficiency measure. The Utility Provider makes no warranties or representations of any kind, whether statutory, expressed, or implied, including without limitations, warranties of merchantability or fitness for a particular purpose regarding the manufacturer or vendor. In no event shall Utility Provider or CLEAResult be liable for any incidental or consequential damages.
PROPERTY RIGHTS
The customer represents that the customer has the right to permit the installation of efficiency measures and that any necessary landlord’s consent has been obtained.

I understand and accept the terms and conditions.

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Confirmation Number*

Last Name*

Zip Code*

If you are scheduled for a no-cost, personalized Home Energy Assessment provided by JE Shekell, please contact JE Shekell to reschedule at (800) 473-4215.

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Unit Type

Location of Unit

Configuration of Unit

Did you replace the appliance to be recycled?

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Unit Type	Location of Unit	Configuration of Unit			replaced the appliance to be recycled
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Payee's First Name

Payee's Last Name

Street 1

Street 2

City

State

Zip

Is the refrigerator and/or freezer emptied,defrosted and wiped out of foreign matter?

I agree I am the owner of all appliances to be recycled.

I understand that I must provide a clear and safe path with access to all units as pickup crews are not equipped to move items in or around the unit.

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Submit Unit(s)

Let’s determine which program is best for you!

Please answer the following program qualifying question.

Do you participate in any of the following assistance programs?

Number of people in your household

For last year, was the total annual income for your household $25,760.00 or less?

Preferred Time of Day

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Electric Utility Copy information from the previous page

Electric Utility Account #

Account Holder First Name*

Account Holder Last Name*

Let’s move on to selecting a date and time that works for you!

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Great! You are eligible for a no-cost, personalized Home Energy Assessment from CenterPoint. CenterPoint has partnered with J.E. Shekell INC. to perform the assessment. J.E. Shekell INC. will contact you to schedule an assessment time that is most convenient for you. Congratulations on taking a step toward a more energy efficient home!

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What's a good time for us to visit?

Based on your choices, plan for up to 1 1/2 hours for a detailed assessment for your home. Please select the best time for us to visit:

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Number of household members	Maximum Income
1	$23,760
2	$32,080
3	$40,320
4	$48,600
5	$56,880
6	$65,160
7	$73,460
8	$81,780
add $8,320 for each additional household member

	Looks like the appointment time you selected is no longer available. Please select another time.

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CenterPoint Indiana Online Scheduling

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Great! Let's make sure you are eligible.

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Electric Utility Copy information from the previous page

Details about your home

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