E-Bike Rebate Application Form
Program Eligibility
As a TEP customer, you can save up to $600 on the purchase of an e-bike.
Standard Rebate: $100
Low-Income Rebate: $600 (must meet low-income requirements)
Applicant must be an active TEP residential account holder
Must submit completed rebate application
Must receive email confirming rebate reservation
TEP has created a
Qualified Product List
of eligible e-bikes that meet the requirements of the TEP e-bike program. If you are interested in purchasing an e-bike that is not on the list, please email the official bike specifications to
tepebikes@clearesult.com
E-bikes must be new, two-wheeled, have operable petals, and an electric motor of less than 750 watts. All classes (Class 1, Class2 and Class 3) are eligible. Conversion kits, scooters, and mopeds are not eligible
E-bike must have been purchased no more than 60 days before rebate application submission date
Must provide proof of purchase and accompanying documentation
Must receive email confirming successful rebate claim
Two-rebate limit per TEP residential customer of record.
Customer must submit supporting documentation within 30 days of confirmed rebate reservation except for the final month of the program in December, 2025, when rebates must be submitted no later than December 31st, 2025.
This TEP e-bike program has a limited number of rebates available. Rebates subject to availability of funds.
FOR PROGRAM QUESTIONS, PLEASE CALL 520-623-7711 OR EMAIL
tepebikes@clearesult.com
Next Steps
Complete the rebate application (e-bike must have been purchased no more than 60 days before the rebate application submission date)
Receive an email confirming rebate reservation with a link to submit supporting documentation
Submit supporting documentation within 30 days of the rebate reservation date
Receive an email confirming the successful rebate claim
Receive rebate check within 45 days of email confirming successful rebate claim
TEP Account Number
?
Customer Name (as it appears on TEP power bill)
Service Address
City
State
Arizona
ZIP Code
Contact Phone
Email
Do you qualify to receive assistance? If so, please verify that your household annual gross income meets or is less than the amount outlined in the table, based on the number of people in your household.
Yes
No
Number of People per Household
Household Gross Income
1
$29,160
2
$39,440
3
$49,720
4
$60,000
5
$70,280
6
$80,560
7
$90,840
8
$101,120
Do you agree that you are voluntarily providing the personal information required to determine your low-income eligibility to the micromobility program?
I agree
Do you understand that TEP and its implementation contractor, ClearResult, will use this information to fulfill the purpose for which it was obtained?
I understand
To find out more about the categories of personal information collected and the purposes for which such information will be used, please refer to our privacy policy at
www.tep.com/Privacy
By stating I agree, you authorize TEP to share the personal information provided on this form with ClearResult solely as needed to determine your eligibility for and, if eligible, receipt of the low income micromobility rebate.
I agree
Do you agree to release and hold harmless TEP and CLEAResult from:
1. Any claims, damages, liability or expenses resulting from the use of disclosure of information in accordance with this authorization
2. The unauthorized use or disclosure of the information by any of the Authorized Parties, and
3. Any actions taken by any of the Authorized Parties based on this authorization.
I agree
E-Bike Rebate Application Acknowledgment
I hereby declare that the information provided on this form is true and accurate to the best of my knowledge and belief. By signing my name, I acknowledge that if I obtain financial assistance based on false information, I will be required to repay all amounts received.
I agree
I acknowledge that my electronic signature on this document is legally binding and indicates my agreement to its terms.
I agree
E-signature Name
E-signature Date
Disclaimer
Two-rebate limit per TEP customer of record. Customer must submit supporting documentation within 30 days of confirmed rebate reservation except for the final month of the program in December, 2025, when rebates must be submitted no later than December 31st, 2025. This TEP e-bike program has a limited number of rebates available. Rebates are subject to availability of funds. Please visit
tep.com/e-bike
for complete program rules and requirements
