Required fields are marked with asterisks (*)

Community Wood Smoke Reduction Program

Applicant's first name

Applicant's last name

Full mailing address (installation address)

Phone number

Email address

Estimated cords of wood used annually (full cords = 4ft x 8ft.x 4ft.)

Building Permit Number- For legal installation all local governments require a building permit

Information about your OLD wood heating system

What type of OLD (non-emission certified) wood heating system was REMOVED?

Wood stove

Wood fireplace insert

Outdoor Wood Boiler (OWB)

Wood furnace

Make/Brand-OLD wood heating removed system

Model-OLD wood heating removed system

What company removed and recycled your old system?

Information about your NEW wood heating system

What is the emission rate of the NEW wood/pellet emission certified system? Woodstoves (g/h) or Boilers (lb/mmBtu) Tip- check the user manual of the new appliance to get this information. Write n/a if using a different fuel or no exchange was made..

Make/Brand- NEW heating system

Model - New heating system or n/a if no exchange was made.

Document upload section

This Woodstove Exchange Program application should include the following documents to be considered complete:

Invoice of NEW appliance- Same full name and installation address of the applicant

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