Upload Receipts

Congratulations on making the switch to natural gas. To receive your appliance rebate, please complete the form below and upload a copy of your installation receipt or invoice. Once submitted, our team will review your information and contact you if any further information is needed.

For information about our privacy practices, please visit https://www.njresources.com/privacy/.

*Required

THIS IS THE UPLOAD RECEIPT FORM On web server 2

Customer Information

*First Name: Required!

*Last Name: Required!

*Email Address: Required! Valid Email Required

*Phone: Required! Invalid phone number format.

Mailing Address

*Street Address: Required!

*City: Required!

*State: Required!

*ZIP Code: Required!

Service Address (where your natural gas service was installed)

Service address is same as mailing address

*Street Address: Required!

*City: Required!

*State: Required!

*ZIP Code: Required!

Promo Code

Document Upload

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Terms and Conditions

*I certify the information provided is accurate and complete. Required!

*I understand rebate eligibility is subject to verification. Required!

*I understand submitting this application does not guarantee rebate approval. Required!