Humphreys County Utility District, TN - Rebate Form

Name Name First Last
Email
Customer Number
Phone Number Phone Number - ### - ### ####
Service Address Service Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please enter the service address not the billing address. The service address can't be changed online.
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Which Rebates Are You Applying For?

Which Rebates Are You Applying For? Furnace/Central Unit.............$300 Water Heater (Standard/Tankless).............$150 Clothes Dryer.......................$100 Cook Top/Oven....................$100 Space Heater (Vented).........$100 Generator.............................$50

New NATURAL GAS APPLIANCES or NEW CONSTRUCTION. Change outs of existing natural gas appliances do not qualify for this rebate.
Do You Want Your Rebate Applied Toward Your Natural Gas Account?

Do You Want Your Rebate Applied Toward Your Natural Gas Account? Yes No
Upload a Copy of Your Receipt

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