Rural Energy for America Program (REAP) Technical Assistance Program

Thank you for your interest in participating in the RTAP Program.

Please note: Partially completed information cannot be saved, be sure to have all details with you before beginning the form. Upon submission, you will receive a confirmation and a tracking number on your screen to print or save. Refer to this tracking number to check on the status of your request.

For full program details and eligibility, visit nyserda.ny.gov/RTAP. If you have any questions, contact us at Rtap@nyserda.ny.gov or call (800) 732-1399.

*Required field

Farm Information

Farm Name

County

Select Electric Utility Company

Contact Information

Title

Primary Phone Number

Phone Extension

Secondary Phone Number

Best Time To Call

Morning

Afternoon

Evening

Correspondence Address (if different from Farm Address)

Farm Details

What kind of farm do you own? Choose all that apply.

Dairy

Grain dryer

Greenhouse

Hog

Orchard

Poultry/eggs

Vegetable

Vineyard

Other

Farm size - Label units

Annual Production - Label units

Number of Employees

Have you had an energy audit in the last two (2) years?

Yes

If yes, was it through NYSERDA’s Agriculture Energy Audit Program?

Yes

Don’t have a recent energy audit? Go to NYSERDA’s Agriculture Energy Audit Program (AEAP) to learn how to get a free energy audit.

Federal Laws

The following information is requested by the Federal Government in order to monitor compliance with Federal Laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race/national origin of individual applicants on the basis of visual observation or surname.

Ethnicity:

Hispanic or Latino

Not Hispanic or Latino

Race: (Mark one or more)

White

Black or African American

American Indian/Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

Gender:

Male

Female

Non-Binary

Attestation

I, the Applicant, certify that the farm or rural business named on this application is interested in participating in the REAP Technical Assistance Program (RTAP) and will provide all necessary documentation as requested to make a complete project application to REAP.

I also agree with the following statements:

I am a New York State agricultural producer or rural small business.
If I identify as an agricultural producer, I guarantee that 50 percent of my gross income comes directly from agricultural operations.
I have NO outstanding delinquent federal taxes, debt, judgment, or debarment.
I will provide utility data for the farm. I understand that utility data may include electricity, propane, natural gas, heating oil, wood,or other energy used for stationary equipment.
I will provide a recent energy audit and any additional documents needed to apply for USDA REAP incentives.

Applications will be processed in the order received until program funds are fully committed.

Authorized Signatory

First Name

Last Name

Choose how to sign

Draw Type

I certify that I am an authorized signatory for the Applicant.

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Tracking Number

You will be provided with a Tracking Number upon submission.