Clean Heat Rhode Island Quote Review Intake Form

Quote Comparison Review
State*
SF Program Account (hidden)
To generate your personalized report, upload the quotes you've received from installers and provide details on your home and your project goals. To complete this intake form, you will need:
- Your current electricity and heating fuel rates (can be obtained from recent utility bills; if you don’t have this, default rates will be provided but may impact the accuracy of your report)
- PDF files or high resolution photos of the quotes you would like to review, including model numbers and/or AHRI numbers for the proposed equipment—we ask that you provide a maximum of three quotes, so if you've received more than three quotes, please submit the strongest three
Optional information to make your report more accurate:
- Electrical usage data for your previous year of electric service (can be obtained from a recent electric bill or your online electric utility account)
- Heating fuel usage data for your previous year of home heating (can be obtained from a recent fuel bill, from your online utility account, or by calling your fuel provider)
If at any point you need to save your submission midway, you can click the "Save" button at the bottom of the page and you will be emailed a link to pick up where you left off.

Once we have received your quotes, we will review them within five business days and email you a summary report that evaluates and compares each quote.

Resident Details
First Name*
Last Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address (Street)*
City*
State*
Zip Code*
Have you spoken with a Clean Heat RI Heat Pump Specialist previously regarding these quotes?

YesNo
What is the name of the Specialist you spoke with previously?
Assigned Specialist Email (autofills)
example@example.com
How did you hear about this service?
Home and HVAC Information
Year built*
Number of stories*
(Not including basement)
Total square footage of home*
(Not counting basement area)
Is basement finished/heated space?*
Number of occupants*
If you live in a multi-family home, please provide the number of occupants in the unit(s) of the home that heat pumps will be installed into.
Is house insulated/weatherized?*
Primary heating fuel*
Natural gas provider
Heating fuel rate*
Per therm of gas, gallon of oil/propane, or kWh of electricity; can be obtained from a recent bill
Electric utility*
Electric rate*
Per kWh; can be obtained from a recent bill
What is your primary heating type?*
How is your potable hot water heated?
How is your potable hot water heated?
How many heating zones do you have in your home?*
For example, each zone usually has its own thermostat.
How do you currently cool your home?*
If possible, please upload your gas usage data from the previous year.

This can typically be found on your most recent gas bill and should look something like this:
Cancelof
If possible, please upload your oil usage data from the previous year.

This can typically be obtained from your oil provider.
Cancelof
How much do you typically spend heating your home annually?
Leave blank if you're not sure.
How much do you typically spend cooling your home annually?
Leave blank if you're not sure.

Quote Uploader

Before uploading, please confirm that each quote lists the model numbers and/or AHRI numbers for the specific equipment being proposed. If a given proposal includes multiple options, please specify which option you are submitting (as a reminder, we can evaluate a maximum of three proposals total).
How many quotes would you like to review?*
Contractor name for Quote #1*
Please upload Quote #1*

You may upload multiple files for this quote, if necessary. A digital PDF copy of the quote is preferred. If that is not possible, high-resolution photos should suffice. If a document/proposal includes multiple system options, please specify which option you are putting forward in the "Contractor name" field and/or the optional notes field on the previous page (you can navigate using the "Back" button at the BOTTOM of this form). Our tool can only evaluate a maximum of three quotes/options across all of the uploaded documents.
Cancelof
Contractor name for Quote #2*
Please upload Quote #2*

You may upload multiple files for this quote, if necessary. A digital PDF copy of the quote is preferred. If that is not possible, high-resolution photos should suffice. If a document/proposal includes multiple system options, please specify which option you are putting forward in the "Contractor name" field and/or the optional notes field on the previous page (you can navigate using the "Back" button at the BOTTOM of this form). Our tool can only evaluate a maximum of three quotes/options across all of the uploaded documents.
Cancelof
Contractor name for Quote #3*
Please upload Quote #3*

You may upload multiple files for this quote, if necessary. A digital PDF copy of the quote is preferred. If that is not possible, high-resolution photos should suffice. If a document/proposal includes multiple system options, please specify which option you are putting forward in the "Contractor name" field and/or the optional notes field on the previous page (you can navigate using the "Back" button at the BOTTOM of this form). Our tool can only evaluate a maximum of three quotes/options across all of the uploaded documents.
Cancelof
Contractor name for Quote #4
Please upload Quote #4

You may upload multiple files for this quote, if necessary. A digital PDF copy of the quote is preferred. If that is not possible, high-resolution photos should suffice.
Cancelof
Contractor name for Quote #5
Please upload Quote #5

You may upload multiple files for this quote, if necessary. A digital PDF copy of the quote is preferred. If that is not possible, high-resolution photos should suffice.
Cancelof
Contractor name(s) for additional quote(s)
Please upload any additional quotes

You may upload multiple files for this quote, if necessary. A digital PDF copy of the quote is preferred. If that is not possible, high-resolution photos should suffice.
Cancelof
Full Name

Final Submission
If Clean Heat RI requires any additional information in order to properly review your provided quotes, we will reach out by email in the coming days. After reviewing your responses below, please be sure to submit using the green "Submit" button.
Should be Empty:

Resident Details

Home and HVAC Information

Project Goals

Quote Uploader

Final Submission