[Town of Marana] Rebate-HE Toilet

Town of Marana - High Efficiency Toilet Rebate Application

Instructions

Complete all response fields in the application.
Attach all required documents.
Complete and submit the form online.
Upon approval, the applicant will be notified via email.

Licensing Time Frame

ARS 9-495, ARS 9-834, and the Town of Marana’s licensing timeframes are located at maranaaz.gov/arsnotice. By submission of this form, I certify that I have read and understand ARS 9-495 & 9-834.

Contact Information

Information about this form can be found at Town of Marana High Efficiency Toilet Rebate Application.

For questions about this form, please contact Karn Boyce at MaranaWater@maranaaz.gov or 520-382-2570.

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

Purpose

This rebate is intended for residential toilets that will reduce indoor household water use. Rebates will be made to qualifying applicants on a first-come, first-served basis, subject to availability of funds. Rebate amount is up to $150 per toilet with a maximum of two toilets per household.

For questions regarding rebates, please contact Karn Boyce at (520) 382-2570 or MaranaWater@MARANAAZ.GOV

Rebate Requirements

To qualify:

Applicant must be a single-family residential Marana Water customer with an account in their name at the service address where the water fixture is installed.
Rebate application must be submitted no later than 1 year after the purchase of the product.
Home construction date must be prior to 2011.
Only MaP rated premium high-efficiency toilets with a flush of 1.1 gallons-per-flush or less will be eligible for a rebate:
Please view the list of toilets here
Purchased products should not be below rebate amount.
Old toilets must not be used again and must be properly disposed of or rendered inoperable.
Participants must be willing to consent to an inspection of the property to verify purchase and installation of qualifying fixture(s).
Limit 2 toilets per household.
Properties that have already received a toilet rebate are not eligible.
Customer must be in good standing for the past 12 months

Please view the Rebate Policy located here

Applicant Information

Water Account Number

Customer Name

Customer Phone Number

Customer Email

Toilet Information

Please provide the information for the new toilet(s) that were purchased and installed for the rebate.

Toilet Manufacturer

Model Name *

Model Number *

Purchase Date

Installation Date

Purchase Price (per item)

Did you purchase a second toilet?

Yes

Number of high efficiency toilets installed (Max 2 toilets per household)

Upload receipt(s) and photo(s) of installed toilet(s)

Click Here to Upload

Voluntary Survey

How did you find out about the program? (ex. social media, website, vendor/supplier, friend, newspaper, television)

What is your primary reason for participating in our rebate program?

Conserve water

Save money on my water bill

Wanted to buy a new toilet anyway

Demographic Information

Why we collect this information

This information helps to guide our programs and services for a diverse community. Results shared publicly will not contain any personal information. Participation is voluntary.

Race & Ethnicity - Which of the following describes your racial or ethnic identity? Please select ALL that apply.

American Indian or Alaskan Native

Asian

Black or African American

Latinx or Hispanic

Middle Eastern/North African

Native Hawaiian or Pacific Islander

White

Prefer not to say

Tribal Affiliation - Are you an enrolled member and/or a descendant of a Federal or State recognized American Indian Tribe? Which one(s)? Please select ALL that apply.

Pascua Yaqui Tribe

Tohono O'odham Nation

Not listed

Not a member or descendant

Prefer not to say

Income - Which of the following options best represents your annual household income?

Age - What age range are you in?

What is the highest degree or level of education you have completed?

What is your primary language spoken at home?

Rebate Policies - Policy Understanding and Acknowledgement

Rebate applications must be complete and are subject to verification and availability of funds.
Marana reserves the right to verify and inspect rebated devices.
Marana Water does not warrant, endorse, or assume liability for the quality or performance of the installed equipment purchased under this program.
Marana Water reserves the right, at its sole and absolute discretion and at any time, to change any or all the Rebate Program Policies or to cancel the rebate program without prior notice.

Rebate Issuance

Rebate amount is up to $150 per toilet with a maximum of two toilets per household.
Allow six to eight weeks for your completed application to be processed and rebate issued.

To complete application, please affirm statements below and sign application

I hereby certify that I am the customer authorized to replace the fixtures at the service address listed above

The toilet(s) are MaP rated and have a flush of 1.1 gallons per flush or less

I am a Single-Family Residential Marana Water Customer

My home was built prior to 2011

I have included receipt(s) and photos with the application

I have read the rebate policy and requirements, and the application submitted is true and accurate

Please review the Rebate Policy located here

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.