Online Registration

U P D A T E New program to launch in late summer 2008: Sign up for Clean Air Newsline to find out when new program begins.

You can register online to see if your old wood stove or fireplace insert is eligible under the Clean Air Agency's Puget Sound Wood Stove Replacement Program in Darrington, Everett, Marysville or Tacoma/Pierce County. Complete the form below and click "Submit Form." When the program is officially launched, a representative from the Wood Stove Replacement Program will assess your eligibility. If you are eligible, we will then contact you to complete your registration and mail you a discount coupon for your new device or heating system.

First, we need some information about you.
(* Indicates required field)

* Full name:
* ZIP:	98205 98201 98203 98204 98208 98241 98270 98271 98354 98371 98372 98373 98374 98375 98402 98403 98404 98405 98406 98407 98408 98409 98416 98418 98421 98422 98424 98443 98444 98445 98446 98465 98466 98467 98498 98499
* Street:
* City:	, WA
* Daytime phone:
* Nighttime phone:
* Best time to call:
* E-mail:
* How did you hear about the Wood Stove Replacement Program?

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Next, we need to know about the type of
wood-burning stove or fireplace insert you have.
(All fields are required)

Is it a freestanding wood stove, with a stove pipe going up through the roof or out through a wall? Is it a fireplace insert, which is essentially a wood stove that sits inside the fireplace?

Estimated age of device, in years:

When was the device installed:

Does the device have a US EPA metal plate (probably on the back of the wood stove or on top of the fireplace insert)? If yes, what is the date on the plate? Before 19901990-1994 1995-19992000-2004 2005 or laterNo, there is no plate present or not known

Does the device have an Oregon Department of Environmental Quality certification label (probably on the back of the wood stove or on top of the fireplace insert)? If yes, what is the date on the label? 1984-1988 Other No, there is no label present or not known

Does the device have glass in the door? YesNo

How do you use this device? Use it as a primary heat source Use it as a secondary heat source Do not use it at all

If your wood stove or wood-burning fireplace insert is your primary source of heat, what is your secondary source of heat? Oil furnanceElectric baseboards Propane furnaceElectric heat pump Natural gas furnaceOther or none Electric furnace

If your wood stove or wood-burning fireplace insert is your secondary source of heat, what is your primary source of heat? Oil furnanceElectric baseboards Propane furnaceElectric heat pump Natural gas furnaceOther Electric furnace

How frequently do you use your wood stove or wood-burning fireplace insert during the cold months? DailyA few times a month A few times a weekOnly a few times a year Once a weekNever use it

How many cords of wood (a cord measures 4 ft. x 4 ft. x 8 ft.) are burned in this device per year?

Do you have natural gas service to your home? YesNo

Who is your electricity provider? Puget Sound Energy (PSE) Tacoma Power Snohomish County PUD Other

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You may qualify for significantly higher discounts and/or interest-free financing.

Depending on your household size, combined gross annual income, and current heating source(s), you may qualify for up to $2,500 - $3,000 off the purchase and installation of specific new heating devices and systems, as well as low- or no-interest financing. Enter this information to see if you qualify.

(Optional)

Household size (number of people living in household):

Combined household gross annual income: