Contact Information

 Prime Contact Name

Prime Contact Email

Alternate Contact Name

Alternate Contact Email

Site Information

Site Name

Water Agency Name

Did this site previously participate in a rebate program?

Which rebate program did the site previously participate in?

Water Account #:

Water Account 2 #:

Water Account 3 #:

Water Meter #:

Water Meter 2 #:

Water Meter 3 #:

Site Address:

Address Line 1

City

Address Line 2

State

Zip Code

Office Address:

Address Line 1

City

Address Line 2

State

Zip Code

Project Proposal

Devices to be installed:

Quantity of each device:

• Smart Irrigation Controllers    -

-    Quantity of stations    -

$0.00

• High-Efficiency Sprinkler Nozzles    -

$0.00

• Flow Sensors    -

$0.00

• Drip Irrigation    -

Square footage    -

$0.00

Confirm the Installation

List the type of facility in which the devices were installed:

Quantity of each device installed:

• Smart Irrigation Controllers    -

​

$

-    Stations    -

• High-Efficiency Sprinkler Nozzles    -

$

​

• Flow Sensors    -

​

$

• Drip Irrigation    -

Square footage    -

​

$

Metropolitan Amount:

Brand & Model

Smart Irrigation Controllers

Brand

Model

High-Efficiency Sprinkler Nozzles

Brand

Model

Flow Sensors

Brand

Model

Drip Irrigation

Brand

Model

Uploaded images:

Smart Irrigation Controllers

High-Efficiency Sprinkler Nozzles

Flow Sensors 

Drip Irrigation

Self Managed Site Comment

Uploaded Files