HVAC Self Assessment

Please Note:

This form is intended to provide an initial quote only. A site inspection by a member of our team will be required prior to the installation of any equipment.

Most of the details on this form, including the pictures, are required to secure the Home Renovation Savings heat pump rebate.

For your convenience, the form may be easier to complete on a smartphone.

Once completed, please hit the submit button and allow a minute or so for the form to complete its upload and sending process before closing the phone or changing apps. Once you see the "Thank you" message, it is complete.

If you have any issues or questions, call or text 613-777-5475.

First Name *

Last Name *

Address

Street Address

City

State

Country

Postal code

Cell Phone *

Best Email Address *

Please explain all the issues you may be experiencing with your current home comfort system. *

How many levels of your home are conditioned (heated and cooled), including the basement? *

1

2

3

4

What is the total square footage of heated and cooled (climate-controlled) space in your home? *

Approximately what year was your home built? *

Are you interested in using the federal government's 0% interest $40,000 Greener Homes loan program to cover the cost of your upgrades? *

yes

no

Have you already had a home energy audit performed on your home by an approved third-party? (EnerGuy, HomeSol, etc) *

yes

no

If you answered no to the previous question, would you like us to have an energy auditing company contact you? *

yes

no

If you have already completed an energy audit with a third-party, please upload all the documents they provided to you as part of their report. *

Are you planning or are you considering any other energy upgrades to your home at this time? For example, attic insulation, air sealing, solar panels, etc. If yes, please list all that you are considering. *

Do you require access to additional financing from our partners at Finance It (up to $40,000 @ 13.99%)? *

yes

no

What type of HVAC home comfort renovation will this be? *

Equipment replacement only (furnace & HP/AC)

System extension or addition (add-on heat pumps, mini-splits, etc)

Full duct & equipment replacement

Please indicate what type of heat pump system you are interested in. *

Central ducted

Ducted mini split single zone

Ducted mini split multi zone

Ducted mini split

What is your Enbridge Gas account number?

What is the primary piece of equipment you use to heat your home? *

What sources of backup heat do you have installed in your home? *

What type of air-conditioning do you currently have in your home? *

Please upload a picture of the nameplate of your primary heating equipment. The nameplate will have the model and serial number on it as seen in the example pics below. They are often found on the inside cover of the furance, air handler, baseboard, etc and sometimes you'll find them affixed to the outside of the unit. *

Please upload a picture of the nameplate of your back up heating equipment. The nameplate will have the model and serial number on it.

Please upload a picture of the nameplate of your air-conditioning unit found on your outdoor unit. The decal will be located somewhere on the outside of the unit and will have the model and serial number on it.

Please upload multiple photos of all heating and cooling equipment from different angles (taken from a few steps back), examples pics below: *

min 4 photos, max 15 photos

If you have a existing furnace, please list the height and width of ALL of your SUPPLY trunk lines at the largest point closest to the furnace as indicated in the picture below. You are looking for measurements X and Y.

X and Y of trunk line 1
X and Y of trunk line 2
X and Y of trunk line 3
X and Y of drunk line 4

How many amp electrical service does your house have? *

What type of breakers are install installed in your house? *

Please upload a picture of your breaker panel with the door open so that we can see all your breakers and if you have any space in your panel box, as shown in the examples below. *

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