Follow the steps to complete your application form online:

1. Press the ‘Get Form’ button to access the necessary form for the WaterSense Toilet Rebate Program.
2. Fill in your utility billing account number, last name, first name, and middle initial clearly in the designated fields.
3. Provide your street address, apartment number (if applicable), city, state (FL), and zip code in the corresponding sections.
4. Enter your U.S. phone number and email address accurately to ensure effective communication.
5. If your mailing address differs from the address provided, complete the mailing address section.
6. Indicate your relationship to the property (e.g., owner, tenant) in the specified field.
7. Select the number of toilets you intend to replace by checking the appropriate box—either single-family residence or commercial/multi-family residence.
8. Select the gallons per flush (gpf) rating of the old toilet(s) being replaced.
9. Specify the year the home was built, confirming it is before 1995 based on the provided information.
10. Indicate whether new toilets have been installed since 1994 by selecting yes, no, or unknown.
11. Review all entries for accuracy and completeness before moving on.
12. Sign and date the agreement of terms and conditions at the end of the form to confirm understanding and compliance.
13. Submit the completed form along with any required documents via mail, email, or fax using the contact information provided in the guidelines.

Complete your form online today to start the process of receiving your rebate!