Providing an Email address will speed up the response time to your application.
Attach to application
Please provide the following if legible. (Manufacturer date/model is usually found stamped under the inside of the toilet lid or back of tank)
How many gallons per flush (GPF) does the NEW toilet(s) purchased use? (Ask retailer if unsure)
(Separate application required for each address)
The City of Modesto may deny any application that does not meet program requirements. The undersigned expressly agrees that the City may inspect all items submitted for the High Efficiency Toilet Rebate Program. The City does not guarantee the performance of any toilet; does not warrant any toilet or installation to be free of defects, the quality of the workmanship, or the suitability of the premises or the toilet for installation. The undersigned further agrees to hold harmless the City of Modesto against all loss, damage, expense, and liability resulting from the loss, destruction or damage to property arising out of or in any way connected with installation of a toilet. The City reserves the right to alter this program at any time. Funding for this rebate program is limited to available resources. Rebates are processed on a first come, first served basis. For further
information, please call (209) 342-2246.
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