Eversource/UI Distributor Upstream reimbursement Form
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The information on the following printed form has not yet been submitted. To submit this information, click the button on the bottom of the form. If any errors are reported, you will need to fix them and click the button again.

Need help?
For additional information or assistance in completing this online application, please contact the EFI Program Coordinator at (800) 876-0660 x4515. We are open from 8 AM to 8 PM, Monday through Friday, and 8 AM to 5 PM on Saturdays.
You are submitting this form and supporting documents online
Please enter the authentication code you were assigned. If you don't have your code, please contact the EFI Program Coordinator at (800) 876-0660 x4515.
Please attach the completed Excel® file (from template) with the rebate details, along with any required supporting documentation. Digital images (JPG/GIF/PNG/TIF/BMP format) or DOC/DOCX/PDF's of the required documents are accepted. Individual files must be smaller than 3 megabytes. Just click the Browse button and select the files, one at a time, to upload.


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By checking the Terms and Conditions acceptance and typing my name below, I certify that all information on this application is true and correct to the best of my knowledge, and that I understand and agree to the program and site-use terms and conditions. I also agree that the Terms and Conditions check box and my name typed below are to be used as my electronic signature.

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