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Water Conservation Incentive Program Application

Terms and conditions

Eligible fixtures include:
- A low-flow toilet that uses a volume of 6 litres of water or less per flush.
- A high-efficiency faucet that uses a volume of 7.5 litres per minute or less.
Limit of one rebate, applied as a credit to the account, per billed service address/single family unit to which the Township supplies water and/or wastewater.
The applicant must be a registered property owner
The applicant must provide the sales receipt within 90 days of the purchase date, which details the manufacturer, name, and model number.
The fixture must be installed prior to application.
The program does not apply to new construction or new bathroom additions; it must be a replacement fixture.
The Township reserves the right to an on-site inspection of the new fixture if deemed necessary.
The Township reserves the right to require proper disposal of any obsolete fixtures at the cost of the applicant in accordance with its waste management by-law. Used toilets can be disposed at the Township landfill located at 1346 Violet Road, Odessa. Applicants may have the opportunity to use the “Free Large Item Disposal” program.
The Township does not guarantee or warranty (i) the performance of the fixture (ii) that the installation shall be free of defects (iii) the quality of the workmanship.
The Township reserves the right to reverse the rebate if it is found at any time that the terms and conditions have been breached.
Rebates will be available on a first come first serve basis until the annual budget allotment has been exhausted.
The Township reserves the right to discontinue the program at any time.

If you would like to print a copy of this form, right click and press print.

You can submit in person or by mail at 263 Main St., Odessa, ON or email.

If you require this form in an alternative format, or if you require assistance completing this form, please contact the Loyalist Township administration office by phone at 613-386-7351 or via email.

Customer information

First name

Last name

Fixture installation address

Mailing address (if different)

Phone number

Email address

15-digit Water/wastewater account number

Fixture details

Type of fixture installed

Fixture manufacturer name

Fixture model name

Fixture model number

Installation date of fixture

Please attach the receipt/invoice showing the fixture model paid in full. (Photocopies are accepted)

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I have hereby read, understand, and agree to the terms and conditions of the Loyalist Township Water Conservation Incentive Program as described at the top of this application form.

I agree to the terms and conditions

Your personal information is collected under the authority of sections 11(1) and 227 (c) of the Municipal Act, 2001. The personal information will be used by Loyalist Township Staff for responding to your service request. Questions regarding this collection should be addressed to: Director of Corporate Services, 263 Main St., Odessa, ON K0H 1H0, 613-386-7351 or clerk@loyalist.ca