Home Renovation Savings ProgramEligibility QuestionnaireThe information provided on this form is used for rebate application purposes. * RequiredPlease enable JavaScript in your browser to complete this form.First Name *Last Name * grid? your energy Phone Number *Street Address *City / Town *What year was your home built?Are you the homeowner?Yes, I am the homeownerNo, I am inquiring on behalf of the homeownerWhat is the age of your house?Built Before 1960Built between 1960 and 1995Built after 1995Have you previously received an attic insulation rebate or discount from Enbridge Gas, Save on Energy, or Home Renovation Savings program?YesNoWhat is the primary heating source for your home?Natural Gas (Enbridge Gas customer)ElectricityOilPropaneWoodDo you have an active Enbridge Gas account for this home?YesNoWhat type of home is this?Detached houseSemi-detached houseRow / TownhouseMobile home on permanent foundationOtherIs your home connected to the Ontario electricity grid?YesNoAre you currently enrolled in the Home Renovation Savings Program for an attic insulation rebate where you had to complete a home energy assessment?YesNoWhat type of equipment is used to primarily heat your home?FurnaceBoilerHeat PumpOtherMore information to share with us?Submit
