Water Smart Rebate Form

Question Title

* 1. Property Type

Residential Homes

Commercial Properties

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* 2. Customer Information

Name

Business or HOA Name (Enter N/A for for Residential Homes)

Phone Number

Email Address

Confirm Email Address

Physical Address (the property that received services):

Mailing Address

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* 3. Rebate Type
A receipt must be included for each item for which you are requesting a rebate. See the full list of rebates and restrictions.

I am submitting a rebate request for (check all that apply):

Residential Irrigation Assessment (Single family home, duplex or triplex)

Commercial, HOA or Multifamily Building Irrigation Assessment

Question Title

* 4. Efficient Irrigation Equipment (Recommended Upgrades)

WaterSense-labeled Smart Irrigation Controller

Flow Sensor

WaterSense-labeled Soil Moisture Sensor

Rotary/High Efficiency Sprinkler Nozzles

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* 5. Quantity of High of Efficiency Sprinkler Nozzles

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* 6. You must upload a receipt for each item for which you are requesting a rebate. The receipt must include:

Purchase date

Brand and model

Price of each item

Proof that it was paid in full

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 7. Additional Receipts

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Water Smart Rebate Form

Question Title

* 1. Property Type

Question Title

* 2. Customer Information

Question Title

* 3. Rebate Type A receipt must be included for each item for which you are requesting a rebate. See the full list of rebates and restrictions.I am submitting a rebate request for (check all that apply):

Question Title

* 4. Efficient Irrigation Equipment (Recommended Upgrades)

Question Title

* 5. Quantity of High of Efficiency Sprinkler Nozzles

Question Title

* 6. You must upload a receipt for each item for which you are requesting a rebate. The receipt must include: Purchase date Brand and model Price of each item Proof that it was paid in full

Question Title

* 7. Additional Receipts

* 3. Rebate Type
A receipt must be included for each item for which you are requesting a rebate. See the full list of rebates and restrictions.

I am submitting a rebate request for (check all that apply):

* 6. You must upload a receipt for each item for which you are requesting a rebate. The receipt must include:

Purchase date

Brand and model

Price of each item

Proof that it was paid in full