HOME ENERGY ASSESSMENT MODERATE INCOME REBATE APPLICATION-CONSENT-DISCLAIMER

Consent

I (we) hereby consent and acknowledge that:

•   The information on my application is true to the best of my (our) knowledge. Any willful misstatement may because for the rejection of my (our) application.
•   The information collected on my application will be used for the following purposes: to determine my (our) household’s eligibility for the Home Energy Assessment Moderate Income rebate; to determine my (our) administrator under the Service; to enable Efficiency Nova Scotia to effectively promote the Service in the future; and to implement, operate and evaluate the Service.
•   I (we) hereby consent to the disclosure, release, use, storage and exchange of information between Efficiency Nova Scotia and my (our) electricity provider, including, but not limited to, my (our) name(s), address(es), electricity usage history, and phone number. Such information may continue to reside on the computer systems of Efficiency Nova Scotia and my (our) electricity provider.
•   I (we) hereby consent to the release, disclosure, and use of the information on my application to the Delivery Agent for Efficiency Nova Scotia’s Efficient Product Installation service in my region in order to have the option of participating in this additional no cost service. My (our) Notice of Assessment and my (our) proof of home ownership will not be shared outside of Efficiency Nova Scotia.
•   Efficiency Nova Scotia is a franchise operated by EfficiencyOne, official Licensee of the Province of Nova Scotia. By providing your consent you agree to release your personal information to the current and successive holders of the Efficiency Nova Scotia franchise.
•   By completing and submitting my application, I hereby consent to the purposes for which Efficiency Nova Scotia is collecting, using, and disclosing personal information as set out in their Privacy Policies. More information on Efficiency Nova Scotia’s Privacy Policy can be found online, efficiencyns.ca/privacy-policy or by email, privacy@efficiencyns.ca.

Disclaimer

•   Efficiency Nova Scotia may, without any penalty or obligation, in their sole discretion, at any time, modify any term(s) or condition(s) herein or any of their requirement(s) for eligibility or program criteria, and modify or terminate any of their programs.
•   All information described on my application will be collected and used by Efficiency Nova Scotia in accordance with the requirements of the Personal Information Protection and Electronic Documents Act.
•   Incomplete applications will result in a delay of processing. Please complete and submit the entire completed application and all associated documents together.