By signing this form, I certify that I have purchased the appropriate pool cover for use at the residential address noted. I have read and understand the terms and conditions of the Pool Cover Credit Application. The information I have provided is true and correct and the bill credit for which I am requesting meets the requirements as stated on this application.
Customer Signature: Da te:
T erms and Conditions
Billing credit requests must be submitted no
later than 30 DAYS from date of purchase.
Types of Pool Covers
View different types of pool covers designed
reduce water evaporation at:
First and Last Name -or- Business Name (Please Print):
Email Address: Telephone Number:
Installation Address:
Mailing Address (If Different):
BWP Account Number:
• Applicant must be a BWP customer with an active account. • The application must be signed, dated, and contain ALL of the supporting documentation.
• BWP is not responsible for items lost/destroyed in the mail. • Credit applies to Pool Covers, Solar Pool Rings and pool cover reels. Pool Cover must conform to the size and shape of the pool and cover at least 85% of the pool’s surface to act as an effective barrier to evaporation.
• Credit applies to NEW pool covers/reels only.
• Liquid pool covers DO NOT qualify.
• BWP reserves the right to conduct a site visit to confirm pool cover compliance.
• The Pool Cover Credit is only available during Stages III-VI of the Sustainable Water Use Ordinance.
• Customers may reapply for a pool cover credit every 3 years, provided that Stage III or above is in effect.
• The billing credit is limited to one bill credit per address up to $100.00 ($50 for either credit or $100 for both)
• The billing credit will be applied within 6–8 weeks of BWP receiving the application.
Zip:
Zip:
City:
City:
State:
State:
□ Single Family Home
( )
Receive up to a $100 Bill Credit Applied to Y our BWP Bill! Application Submission
Be sure to attach the supporting documentation
before mailing or dropping off your application.
□ Copy of receipt or invoice
□ Photo of installed pool cover/reel
Mail Application:
BWP Conservation
Attention: Pool Cover Credit
P.O. Box 631
Burbank, CA 91503-0631
Drop Off Application:
BWP Conservation
164 W. Magnolia Blvd
Burbank, CA 91503-0631
http:/ /energy.gov/energysaver/articles/
swimming-pool-covers
POOL COVER CREDIT APPLICATION
Swimming Pools | Spas
BurbankWaterAndPower.com | BWP Conservation (818) 238 - 3730 | [email protected] Pool Cover Credit Application v08/15/2023 Page 1 of 1
□ I am applying for a $50 pool cover credit □ I am applying f or a $50 reel credit Select all items that apply:
ATTACHMENT 1
A1-1