Energy Efficiency Kit Order Acknowledgment Form

Business & Residential Program Ally Enrollment Form

Documentation Needed

                          ·         Required for ALL Residential Program Allies: W-9 Form and Certificate of Insurance

                          ·         The Certificate of Insurance must have the following listed as the Certificate Holder: 
Ameren Illinois 
300 Liberty Street 
Peoria, IL 61602

·         Please email the required documents to EEAlly@ameren.com. 

General Program Ally Standards

    As a Program Ally with the Ameren Illinois Energy Efficiency Program, you are committed to maintaining high standards of integrity in your work practices and communications. Your participation in the Ameren Illinois Energy Efficiency Program as a Program Ally is voluntary and may be terminated by either party at any time or for any reason without penalty.

By completing this form, the Program Ally hereby agrees to comply with the Ameren Illinois Energy Efficiency Program standards as outlined below:

  • Information relayed to customers about Ameren Illinois and the Ameren Illinois Energy Efficiency Program must be clear, accurate, and truthful.
  • Disparaging, inaccurate, or inappropriate remarks about Ameren Illinois, Program Staff, or other Program Allies are prohibited.
  • All marketing practices, material, and co-branded representation must receive written approval by Program Staff prior to use and are subject to review at any point. This includes strict adherence to the Program’s co-branding requirements, which will be provided upon your enrollment.
  • You agree to comply with all published Program requirements. 
  • Program Allies must abide by all applicable laws, building codes, and licensing requirements.
  • All Program Ally installations must adhere to the equipment manufacturer’s guidelines and specifications.
  • Program Allies will carry the required insurance coverage, as applicable, and shall produce proof of coverage upon request. 

 

 
Format: 000-000-0000

Format: 000-000-0000

Format: 000-000-0000

Format: 000-000-0000

Minority Owned *
Woman Owned *
Veteren Owned *
Languages Spoken *
Which Residential Program offering(s) are you enrolling in? *
Business Type (check all that apply) *
Services Offered (check all that apply for business services) *
Check all that apply for residential services *
Business Customer Types (check all that apply) *
Areas Served (check all that apply and chose the cities closest to the areas you serve) *
Who or which organization referred you to this application?
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