Nebraska Department of Environment & Energy logo

Nebraska Department of Environment & Energy

Air, Land & Energy

Energy & Assistance Division

Documents & Forms Index

Nebraska Department of Environment and Energy

P.O. Box 98922|Lincoln, NE 68509

Phone (402) 471-2186|Toll Free (877) 253-2603

Dollar and Energy Saving Loan Program

Loan Program Borrowers General Information

Borrower Forms and Applications

Prequalified Project Application Forms
Form 1 Replacement Appliance Application. For consumer and business products such as Refrigerator, Freezer, Dishwasher and Clothes Washer Appliance Replacement. Maximum loan term 1 to 5 years.
Form 2 Door, Window, Wall and Ceiling Projects Application. Insulation Added, Seal leaking Doors and Windows, Wall and Ceiling Insulation, Caulking and Sealing Building Envelope (if your project includes roofing, siding, new windows or doors you must attach supplemental forms 2 Roofing, 2 Siding, or 2 Window/Door). Maximum loan term 1 to 15 years.
Form 3 Heating, Cooling and Water Heating Projects Application. Furnace, Air Conditioning and Water Heater Projects. Maximum loan term 1 to 15 years.
Form 4 Lighting Projects Application. Maximum loan term 1 to 15 years if a building improvement; 1 to 10 years if a system improvement. If needed, use the Form 4, Lighting Projects (Excel) Spreadsheet to list lighting improvements on pages 2 and 3.
Form 7 Dedicated Alternative Fueled Vehicle and/or Fueling Facility and Equipment Projects Application. Maximum loan term 1 to 3 years for conversions; 1 to 5 years for a new vehicle under 8,500 lbs. gross vehicle weight; 1 to 7 years for new vehicles over 8,500 lbs. gross vehicle weight; 1 to 10 years for fuel stations and equipment.
Form 8 Telecommunications Equipment Application. Telecommunication Network Access Equipment, Servers, Modems/Rack Modems, Channel Service Units, Data Service Units, Computers, Video Conferencing Products, Portable Conferencing Units, Teleconferencing Bridges and more. Maximum loan term 1 to 10 years.
Form 9 ENERGY STAR® Certified Home Electronics and Office Equipment Application. Computers and Laptops, Printers, Monitors, Fax Machines, Copiers, Cordless phones, Answering machines, Battery Chargers, Home Audio Equipment, Televisions and more. Maximum loan term 1 to 5 years.
Form 20 Wind, Solar and Fuel Cell Application. Fuel Cells, Wind, Solar Hot Water and Photovoltaic Systems. Maximum loan term 1 to 10 years.
Form 35 Utility Records Release. For use when Utility Account is in the name of someone other than the applicant.
Form A United States Citizenship Attestation. To comply with Nebraska Legislative Bill 403.
Form B Project Start Notification. Agreement not to purchase equipment or contractually obligate yourself to a project until a Commitment Agreement (Form 10) is signed by the Nebraska Energy Office.

Loan Program Lenders General Information (for lenders only)

Lender Forms and Instructions

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