Get Application Form - Dekalb County Department Of Watershed ...

Filling out the Application Form for the DeKalb County Department of Watershed Management's Toilet Retrofit Rebate Program can seem daunting. This guide is designed to provide you with clear and supportive instructions to complete the application smoothly and successfully.

Follow the steps to complete your application form accurately.

1. Click ‘Get Form’ button to access the application form and open it in the designated editor.
2. Begin by providing your DeKalb County Customer account number. Indicate whether your property is a Single Family or Multi-Family dwelling by selecting the appropriate checkbox.
3. Fill in your name as the applicant in the provided field. Include a day phone number and an evening phone number for any necessary follow-ups.
4. If the property owner differs from the applicant, provide their name along with the city, state, and zip code of the property owner.
5. Enter your mailing address, along with both day and evening phone numbers. Don’t forget to include your email address for communication purposes.
6. Input the installation address, including the city and zip code where the new toilet will be installed.
7. If you have purchased your property within the last 2-3 months, attach a copy of your settlement statement, HUD statement, or warranty deed as ownership proof.
8. Provide information about your household. Indicate the year the home was built (must be prior to 1993), the number of bathrooms, and the number of toilets being replaced (maximum of three toilets per household).
9. Fill in the details of the replacement toilet information. Choose between the options for rebate amount based on toilet specifications, and ensure you select models from the eligible list.
10. Complete the purchase details by entering the store name where the toilet was purchased, the purchase date, and the price paid for the toilet.
11. Specify the installation date and the name of the person or company that installed the toilet.
12. Read the rebate agreement carefully and affirm your understanding by signing and dating the application. Ensure all information is accurate and true.
13. Mail the completed application form along with the original sales receipts within 60 days of purchase to the provided address.

Complete and submit your application form online to take advantage of the rebate program.