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Water Efficiency Rebate Form

Irrigation Efficiencies

Contact Information

Rebate Information

Location of the irrigation equipment you plan to upgrade
Select all that apply

Please specify how you would like to upgrade your irrigation system
Select all that apply

Pre-Conversion Photograph Attachments

Photo Attachment Requirements:

  • Submit Five photographs
  • All photographs must be in color.
  • Irrigation system must be photographed while operating.
  • Stand far back enough to include your home, street, driveway, or fence as a reference point.
  • Street number or address must be visible in at least one photograph.
  • Photographs cannot be online images (i.e Google, Bing, etc.).
  • Altered photographs will result in application being ineligible for rebate (see II. E. on page 1).
  • Auto irrigation control valves (i.e. manifolds) must be included in at least one photograph.
Note - Only Image file formats can be uploaded (eg. .jpg, .png). PDF files cannot be uploaded here. If you are unable to attach the correct file type, or if any other issues with the attachments arise, you may select the box below and submit the files in an email.
Attach (5) Photos

Drag & drop

your (5) photos here or click to browse

Acknowledge Terms & Conditions

You must agree to participate in a post-conversion site inspection conducted by PCWA to verify that all irrigation equipment is installed. You may not be required to be present; arrangements will be made by a PCWA Water Efficiency Specialist.

Release of Liability & Signature

PCWA may deny any application that does not meet all of the Program requirements. PCWA reserves the right to alter the Program at any time. PCWA does not warrant or guarantee lower water bills as a result of participating in the Program. PCWA is not responsible for any damage that may occur to participants' property as a result of this Program. The undersigned agrees to hold harmless PCWA, its directors, officers, and employees from and against all loss, damage, expense and liability resulting from or otherwise relating to the installation of irrigation efficiencies equipment. By signing this form I agree that I have read, understand, and agree to the Terms and Conditions of this rebate program.

You must sign this form by typing your name

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