HEATING AND COOLING EFFICIENCY PROGRAM
Smart Thermostat Worksheet
For Idaho Power Use Only
Customer Information
CUSTOMER NAME (as listed on Idaho Power Account)
ID #:
INSTALLATION INFORMATION
Home Information
Date Services Were Performed
How Is The Home Used
Existing Heating System Type
 Heat Pump
Home Square Footage
Primary Residence
Vacation Home
Year Home Built
Rental
Electric Resistance Forced Air
Existing Cooling System Type
 Heat Pump
Central Air Conditioner
Smart Thermostat Installation Information
Manufacturer / Brand
Window Room Air Conditioner(s); Number Of Units:
______
Model
Serial Number
Was the smart thermostat installation consistent with the manufacturer instructions? Yes  No
DOCUMENT SUBMITTAL CHECKLIST
 Copy of Paid Invoice (invoice must include description of service, costs and installation dates)
 Heating and Cooling Efficiency Program Incentive Application
 Smart Thermostat Worksheet (this form)
DOCUMENTATION SUBMITTAL All required forms and documentation must be submitted within 90 days of service completion date to:
MAILING ADDRESS
FAX
Idaho Power Heating and Cooling Efficiency Program
9951 W Emerald St
Boise, Idaho 83704
Within the Treasure Valley – 208-377-3287
CONTACT INFORMATION 208-377-3275, ext 203 –or– 877-320-9134, ext 203
www.IdahoPower.com/HeatingCooling
Outside the Treasure Valley – 877-886-4042
ACCEPTANCE OF TERMS
I hereby certify that all the information on this worksheet form is accurate and services have been performed to the program
requirements.
Homeowner Name (please print)
Signature
Date
Idaho Power Account Holder Name (please print)
Signature
Date
CLEAR FORM
CRR 212 (8/16)
PRINT
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IPC
Customers receive the Idaho Power incentive for having a qualified smart thermostat installed into their existing single family
home. The homeowner must have the work performed by a licensed contractor. The homeowner will process and submit the
necessary incentive forms. Incentive is available to customers throughout the Idaho Power service territory. Homes receiving
this incentive may not receive incentives for the same equipment under another Idaho Power incentive program. One
incentive per residence is available.
• The Idaho Power incentive is available for the
installation of a smart thermostat
• Qualified homes include homes with electric
resistance forced air heat (with or without central
air conditioning), or a heat pump.
• Must be an existing single-family home built onsite.
• Home can be a primary residence, vacation home,
or rental.
• No minimum length of residency.
• New construction is not eligible.
• Idaho Power does not require the homeowner to
participate in offers made by the thermostat
manufacture, seller, or other parties involving the
sharing of the homeowner’s data. The decision to
share data resides with the homeowner.
• The smart thermostat must not void the
manufacturer warranty for the system.
The
manufacturer should be consulted prior to the
installation of the smart thermostat
• The smart thermostat must be new.
• The smart thermostat must be listed on the
Qualified Products List. This list can be modified
by Idaho Power at any time since some models can
become obsolete while new models can become
available from manufacturers.
The smart
thermostats listed in the Qualified Products List
incorporate specific pre-determined energy
impacting product features required by Idaho
Power.
• The smart thermostat must be wired, connected to
the Internet and tested by the contractor after
installation to verify that it is operating correctly.
• The homeowner will have the licensed contractor performing the work maintain the appropriate license(s) and adhere
to the requirements within the state where work is performed. The contractor shall install the equipment and/or
perform services in accordance with all applicable federal, state, and local applicable safety, building, environmental,
and other applicable statutes, regulations, ordinances, codes, and accepted industry standards. In the event the
contractor contracts or delegates work to be performed by others, the contractor shall be responsible for the acts and
omissions of any such work.
• The homeowner is responsible for having the contractor install the smart thermostat consistent with manufacturer
instructions.
• Idaho Power is under no obligation to pay the contractor any amount of money.
• Homeowner shall indemnify, hold harmless, reimburse, and defend Idaho Power from, for, and against any actual or
alleged claims, demands, damages, losses, expenses, and liabilities from third parties (collectively “Claims”) relating to
or arising from contractor’s work or work the contractor has performed by others, provided the claims are not the
result of bodily injury to persons or damage to property caused exclusively by the sole negligence of Idaho Power.
• Homeowner acknowledges and agrees that Idaho Power offers no warranties of any kind whatsoever related to this
program.
• Idaho Power does not endorse contractor’s services, products, reputation, or reliability
• Neither the program nor the contractor’s work shall create any employment or agency relationship between the
contractor and Idaho Power, and nothing shall be construed or interpreted to place any obligation on Idaho Power to
pay the contractor any amount as a result of contractor participation in or expressly referenced in the program.
• In no event shall the homeowner bring an action against Idaho Power, nor shall Idaho Power be liable to homeowner
for, any direct, indirect, special, incidental or consequential damages of any nature or kind, whether in contract,
warranty, tort, negligence, strict liability, or otherwise, arising out of or resulting from the program or any terms and
conditions of the program.
CRR 212 (8/16)
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IPC