Download your copies of the Declaration Form and Application Checklist below. You will need them to complete your application.
Name*:
Applicant Email*:
Applicant Phone Number*:
Address of Installation:
Mailing Address: (if different than the installation location)
What Type of OLD appliances was REMOVED*:
Non-EPA-Certified Wood StoveWood Fireplace InsertWood Furnace
What is the make and model of the OLD appliance that was REMOVED? (if available):
What type of NEW heating system was INSTALLED?*: (All wood/pellet appliances MUST be EPA-certified to qualify)
Wood stove stand-alonePellet StoveHeat pump
Make/Brand and Model of the NEW appliances*:
Name of the retailer where it was purchased*:
Purchase date of appliance*:
Photo of the existing appliance before removal*:
Photos of the newly installed appliance and EPA-Cetified information plate/label (wood appliances only)*:
Photo of the destroyed appliance or photo of the signed KAG declaration form*:
Invoice of the NEW appliance with the same full name and installation address of the applicant*:
Copy of WETT inspection: (wood appliances only)
Copy of BC Safety Authority Permit: (for natural gas appliances only)
Copy of Solid Fuel Burning Permit: (for wood appliances only)
I certify that all the information submitted in this application is true to the best of my knowledge
I agree
I understand that KAG may contact me for a period of 2 years after my application to administer surveys and educational initiative related to the Wood Smoke Reduction Program
I agree to the terms and conditions
Why are we doing a survey? To get feedback on the program from the public, especially CWSRP participants and to improve our program. We hope to find out how can we encourage more exchanges of old wood stoves (accessibility of program; are program requirements viewed as complex, what are the reasons that people participate) The information from the survey will be summarized by the local program coordinator and submitted to the BC Ministry of Environment and BC Lung. The information will be used to help achieve: more removal of old uncertified wood stoves, better awareness of good burning practices and reduction in wood smoke pollution. This survey is a mandatory requirement for each CWSRP applicant. Please complete the survey. Your responses will be summarized and anonymized. No personal or identifying information will be retained. Thank you!
Why do you want to replace your old wood stove (You may choose multiple answers)?*
Concerned about wood smoke in my communityMy old woodstove no longer works wellConcerned about indoor air qualitySafety concernsRecommended by building inspection resultsMy old woodstove is not efficient enoughWant to heat my place with less effortFor cleanliness purposeOthers
What type of replacement appliance did you choose?*
Certified wood burning appliancePellet burning applianceGas applianceElectric heat pumpElectric fireplace insertOther heating appliance
How did you hear about this program?*
Brochure or posterIn-storeNewspaper adsRadio adsWebsite or social media such as FacebookHome inspectors or other qualified personnelOthers
How often (approximately) did you use your original wood appliance in winter?*
—Please choose an option—a. Less than 3 times/weekb. 3 to 5 times/weekc. More than 5 times/weekd. Primary heating source
How much wood (approximately) do you use in winter?*
—Please choose an option—a. Less than half cordb. Half cord to 1 cordc. 1 cord to 2 cordsd. 2 cords to 4 cordse. More than 4 cords
What is the total cost of your new appliance including installation fees?*
—Please choose an option—a. Less than $500b. $500 to $1,000c. $1,000 to $5,000d. $5,000 to $10,000e. $10,000 to $20,000f. More than $20,000
What does it cost you to dispose of your old wood stove (removal, transportation, recycling)?*
—Please choose an option—a. Less than $100b. $100 to $300c. $300 to $500d. $500 to $1,000e. More than $1,000
How much rebate do you qualify for in total (from the provincial program, local governments, retailers, etc.)*
—Please choose an option—a. Less than $400b. $400 to $800c. $800 to $1,600d. $1,600 to $2,600e. $2,600 to $3,600f. More than $3,600
Why did you choose this type of replacement?*
Appliance was affordable
Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Cleaner burning/more efficient
Fuel is affordable
It works during a power outage
Convenience
More effective heat (warmer during cold weather)
Includes air conditioning for hot weather (heat pump)
How would you rate the process of participating in the community wood smoke reduction program?*
It was easy to find all the required information
The information was clear and adequate
It was easy to fill out the application form
The local retailers were very helpful
It was easy to recycle/destroy your wood stove
How would you rate your overall experience in participating in the program?*
Very UnsatisfiedUnsatisfiedNeutralSatisfiedVery Satisfied
Please provide comments or suggestions to improve the program
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