Start at the Tap Rebate Form

Start At the Tap: Fixture Rebate Program

Up to a $100 rebate per device is available for a maximum $1,000 in rebates per location.
The $100 rebate per fixture may not exceed the price of the fixture.
Rebates will be available for WaterSense approved fixtures purchased as of January 1, 2019 with proof of purchase and location inspection will be required.
There are a limited amount of rebates available.
More information about WaterSense approved fixtures may be found at EPA.gov/watersense.

Name*
First Last
Name of Business
Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Type of Fixture #1*
Cost of Fixture #1*
Type of Fixture #2
Cost of Fixture #2
Type of Fixture #3
Cost of Fixture #3
Type of Fixture #4
Cost of Fixture #4
Type of Fixture #5
Cost of Fixture #5
Type of Fixture #6
Cost of Fixture #6
Type of Fixture #7
Cost of Fixture #7
Type of Fixture #8
Cost of Fixture #8
Type of Fixture #9
Cost of Fixture #9
Type of Fixture #10
Cost of Fixture #10
Total Amount of Rebate Requested*
Location Inspection*
- Yes, I agree to a location inspection.
Acknowledgement*
- l attest that the foregoing is true and correct to the best of my knowledge.
Please Upload Proof of Purchase*
Max. file size: 200 MB.
Please Upload Proof of Purchase
Max. file size: 200 MB.
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