High-Efficiency Urinal (HEU) Rebate Application Form
The High-Efficiency Urinal (HEU) Rebate Application Form is used by businesses to apply for a $300 rebate for replacing old urinals with high-efficiency models. It includes applicant information, installation details, and a rebate agreement. The form must be completed, signed, and submitted with proof of purchase within 60 days of purchase.
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How do I fill this out?
To fill out this form, start by completing your business and contact information. Next, provide details about the new urinals you have installed, including make and model. Finally, sign and date the form before submitting it along with the necessary proof of purchase.
How to fill out the High-Efficiency Urinal (HEU) Rebate Application Form?
1
Complete your business and contact information.
2
Provide details about the new urinals installed.
3
Include the original sales receipt for each approved urinal.
4
Sign and date the rebate agreement.
5
Submit the completed form to the Town of Windsor.
Who needs the High-Efficiency Urinal (HEU) Rebate Application Form?
1
Business owners replacing old urinals to receive a rebate.
2
Facilities managers looking to improve water efficiency.
3
Property managers upgrading restroom fixtures.
4
Environmental compliance officers ensuring the use of high-efficiency fixtures.
5
Municipalities implementing water conservation programs.
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What are the instructions for submitting this form?
Mail your completed application to: Town of Windsor, Water Conservation Program, P.O. Box 100, Windsor, CA 95492. Ensure the form is filled out completely, signed, and accompanied by the original dated sales receipt. For questions, call 838-5357. My advice is to double-check that all information is accurate and all required documents are included before submission to avoid delays.
What are the important dates for this form in 2024 and 2025?
Applications must be submitted within 60 days of purchase. Check the Town of Windsor's website for specific funding availability dates for 2024 and 2025.
What is the purpose of this form?
The purpose of the High-Efficiency Urinal (HEU) Rebate Application Form is to facilitate the application process for business owners and property managers looking to upgrade their restroom facilities with high-efficiency urinals. By submitting this form, applicants can receive a $300 rebate for each qualifying urinal installed, promoting water conservation and cost savings. This form ensures that all necessary details and proof of purchase are provided, allowing the Town of Windsor to verify and process the rebate efficiently. Additionally, the form helps the Town of Windsor track participation in their water conservation program, encouraging broader adoption of high-efficiency fixtures across the community.
Tell me about this form and its components and fields line-by-line.
- 1. Applicant Information: Includes business name, contact name, address, city, state, zip code, and telephone number.
- 2. Water Service Account: Information about the water service account number for the installation address.
- 3. New Urinal Information: Details about the new urinals installed, including manufacturer, model name, model number, purchase date, and quantity.
- 4. Rebate Agreement: Agreement to comply with the program's terms and conditions, including a release of liability and the requirement for signature and date.
What happens if I fail to submit this form?
Failing to submit this form results in the forfeit of the rebate opportunity.
- Missed Financial Incentive: Applications not submitted within the 60-day timeframe will not qualify for the $300 rebate.
- Non-Compliance: Your business will not be recognized for participation in the Town of Windsor's water conservation program.
How do I know when to use this form?
- 1. Old Urinal Replacement: When replacing urinals that use 1.0 gallon per flush or more.
- 2. Post-Installation Inspection: When the new urinals have been installed and verified as high-efficiency models.
- 3. Rebate Application Submission: When you are ready to apply for the $300 rebate with all required documentation.
Frequently Asked Questions
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What details do I need to provide on this form?
You need to provide your business and contact information, details about the new urinals installed, and proof of purchase.
How long do I have to submit the rebate application?
You must submit the rebate application within 60 days of the purchase date.
Where do I send the completed application?
Send the completed application to the Town of Windsor, Water Conservation Program, P.O. Box 100, Windsor, CA 95492.
What happens if my application is incomplete?
Incomplete applications will be denied. Ensure you provide all required information and proof of purchase.
Can I edit the form after printing?
While you can make notes and changes by hand, it is recommended to complete all edits using PrintFriendly's PDF editor before printing.
Is there support available if I have questions?
Yes, you can call the Town of Windsor Water Conservation at 838-5357 for any questions related to the rebate application.
What urinals qualify for the rebate?
Only High-Efficiency Urinals approved by the Town of Windsor and listed on their qualifying urinals list are eligible for the rebate.
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