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Attachment 2 - Water Rebate Application - English (PDF)

Rialto City Council
September 8, 2026

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Attachment 2 - Water Rebate Application - English (PDF)
Meeting
September 8, 2026
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Rialto City Council
Original file
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Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

City of Rialto - Rebate Programs
Public Works Department
150 S. Palm Ave., Rialto, CA 92376
(909) 820-2546
APPLICANT INFORMATION:

PLEASE COMPLETE FOR APPLICABLE REBATES:

Please attach a copy of your most recent water bill to this application.

ACCOUNT #: APPLICATION DATE:

Purchase Date: Quantity Installed: Purchase Price Each:

MAILING ADDRESS:

CITY: STATE: ZIP:

INSTALLATION SITE INFORMATION:

REBATES ARE YOU APPLYING FOR:

HIGH EFFICIENCY TOILET: Limit 2 Per Household
High Efficiency Washing Machine Brand: Model #:

Purchase Price:
c Single Family Home c Multi-Family c Condo/ Townhome c Commercial c HOA PROPERTY TYPE:

ZIP:CITY:ADDRESS:

APPLICANT/ACCOUNT HOLDER'S NAME:

BEST TIME TO CALL:

PROPERTY/SITE NAME (IF APPLICABLE): YEAR HOME BUILT:
c High Efficiency Toilets c High Efficiency Washing Machine c Weather Based Smart Irrigation Timers c High Efficiency Nozzles c Turf Removal c Shut Off Nozzle
PHONE: EMAIL:

Rebate will be in the form of account credit.

New Toilet Information:

Flush Volume:Make(s)/Model(s)/Age of Toilets Being Removed:

Install Date: Purchase Price:

Number of toilets replacing:Number of Toilets on Property:

Complete Model #:

High Efficiency Make/Model: Flush Volume:

Current Washing Machine Brand:

Make:

Installation Date:

New Nozzle Information:

Existing Nozzle Brand/Model: Number of Sprinkler Heads on Each Circuit:

Complete Model #: Number of Controller Stations:

HIGH EFFICIENCY NOZZLES or AUTOMATIC SHUT OFF NOZZLE: No Limit Make: Model:

WEATHER BASED SMART IRRIGATION TIMERS: Limit 1 Per Household HIGH EFFICIENCY WASHING MACHINE: Limit 1 Per Household Is the washing machine Energy Star certified? c Yes c No Is toilet on the list of WaterSense certified toilets? c Yes c No Purchase Price: Install Date:

New Timer Information:

New Washing Machine Information:

Number of Controller Stations:Existing Method of Irrigation Control:

Purchase Date:

Make: Model: Complete Model #:

Quantity Installed: Purchase Price Each:

New Landscape Information:

Please mail all rebate applications, receipts and a copy of your water bill to the City of Rialto, Attn: Public Works Dept. Rebates, 150 S. Palm Ave., Rialto, CA 92376

1. All participants must be a Rialto Water Services customer.

2. To obtain a rebate, customers must agree to a pre/post installation site inspection. This service is provided free of charge to customers.

3. Customer must provide the City of Rialto with the itemized dated sales purchase receipt(s) for any products included in this program. Only products within the rebate program are eligible for rebate. If the purchase price for any of the products includes installation charges, the purchase and installation must be listed separately on the original receipt.

4. All applications must be complete and signed for approval to be eligible for rebate.

5. Rebates will not exceed the purchase amount of the rebate product.

6. Rebates will be processed on a first-come-first-serve basis until funds for the fiscal year are exhausted.

7. Rebate requests may be tracked with pre-installation and post-installation inspections to ensure the implementation and use of the rebated products.

8. After validation of purchase and installation of the approved product, customers will receive a rebate in the form of a credit to their water account.

9. If customer participates in the turf replacement program they agree to maintain the water efficient landscape improvements for the duration of the ownership of the property.

10. Account credits will be issued within 45 days after application approval.

I certify that the information contained in this application is true and correct. I have read, understand and agree to the qualifications and rules listed in this application.

DateAuthorized Signature Title (if applicant is a business) Rebate Amount $_______________
QUALIFICATIONS AND RULES:

Square Footage of Turf Removed:

FOR OFFICE USE ONLY
Date inspected:
c Approved c Denied
Notes:

By: Public Works Dept.:

Approved By:

Date Submitted to Veolia/RWS:

Reviewed By:

DISCLAIMER:

The City of Rialto reserves the right to deny applications if any conditions or qualifications are not met. Submission or possession of a rebate applications does not guarantee receiving a rebate/account credit. The City reserves the right to change the terms of this program at its discretion at any time. By participating in this program, you waive and release City of Rialto and Rialto Water Services from any and all claims and causes of action arising out of the installation or use of rebated products. Any claim based upon defect or failure of performance of rebated products should be pursued with the manufacturer/distributor. The City of Rialto and Rialto Water Services is not responsible for receipts or paperwork lost in the U.S. mail. The District cannot guarantee that any participation in this program will result in lower water utility bills. Customer is responsible for complying with local ordinances, restrictions, rules and regulations prior to installing any new equipment.

At any time this program can be subject to change or termination without prior notice.

TURF REPLACEMENT PROGRAM: Pre-inspection Required
Pre-Inspection Approval Date:
c Mulch c Drip Irrigation c Inland Empire Garden Friendly Plants c Other Purchase Price: Purchase Price: Purchase Price:

Date Installed: Date Installed: Date Installed:

City of Rialto - Rebate Program
Public Works Department
150 S. Palm Ave., Rialto CA 92376
General Information:

Below is a list of rebate programs that are offered to our residential and commercial customers (commercial customers on a case by case basis). Pre-inspection and post-inspections may be required to obtain a rebate. Rebates will be awarded on a first come, first serve basis, given all requirements are met. Should you have any questions regarding rebates, please contact Rialto Water Services at 909-820-2546.

Weather based smart irrigation timers (Smart timers) improve irrigation efficiency by reducing the amount of over irrigation and watering time, reducing the amount of over watering. Smart timers have a weather based component that tracks current weather conditions by use of a weather sensor and will turn off, or reduce irrigation if precipitation is present or irrigation is not needed. The rebate amount for a qualifying Smart timer is $100. Eligible smart timers are as follows:
• Customers must have an existing automated irrigation system with an operable irrigation controller; • Smart timer must be new and include a weather sensor or the purchase/installation of a weather sensor that is compatible with existing irrigation timer; thus making it a "smart timer".

HIGH EFFICIENCY IRRIGATION NOZZLES AND SHUT OFF NOZZLE
REBATE INFORMATION SHEET: SPECIFICATIONS FOR ELIGIBLE PRODUCTS

WEATHER BASED SMART IRRIGATION TIMERS

HIGH EFFICIENCY WASHERS
High Efficiency Nozzles are sprinkler nozzles designed to reduce water consumption. High Efficiency Nozzles can come in form of rotary nozzles and spray nozzles. Instead of a fixed stream of water, rotary nozzles deliver multiple streams, reducing water waste. High Efficiency nozzles deliver a wider stream of water that decreases overspray and runoff. Increase in water droplet size in newer spray nozzles decrease the amount of overspray while increasing amount applied to vegetation. High efficiency nozzles are designed for easy replacement on pop-up irrigation heads. The rebate amount for qualifying nozzles is $4 per nozzle. The rebate for Shut Off Nozzles are $10. Eligible nozzles are as follows:
• Nozzles must be new;
• Nozzles must have documentation (pamphlet, sticker, etc.) signifying its water use efficiency; • While there is no minimum requirement to be eligible for rebate, it is required that all nozzles on an individual valve circuit be replaced at the same time for effective conservation.

High Efficiency Washers (HEW’s) yield savings in both water and electricity. HEW’s maximum water factor is 6 (based on gallons per cycle/per cubic foot) and use at least 35% less water than conventional washers. Reduction in water usage also reduces energy use because less water needs to be heated. The rebate amount for a qualifying HEW is $100. Eligible HEW’s are as follows:
• HEW’s must be new;
• HEW’s must be on the current list of Energy Star qualified clothes washers, as found at www.energystar.gov and have a water factor of 6 (gallons per cycle/per cubic foot) or less per load (specified on the qualified current list); • Must be replacing a unit that uses a higher volume of water per load.

TURF REMOVAL REBATE
The turf removal rebate program is to assist customers in replacing turf with water efficient landscaping. The rebate will be $1 a square foot removed and replaced with a water efficient landscape up to a maximum of $1,000. The following items eligible for this program are as follows:
• Customer MUST have pre-inspection and approval before removing turf • Water efficient landscape products are at the desire of the customer such as mulch, groundcover, drip irrigation and synthetic turf. Concrete is not allowed.
• All plants being installed must be listed on the Inland Empire Garden Friendly Plant list available at http://garden.csusb.edu/howTo/IEgardenFriendly.html
• Removal and replacement of turf must comply with customers' city and county landscape ordinances

HIGH EFFICIENCY TOILETS
High Efficiency Toilets (HET's) are toilets that have a low volume flush of 1.28 gallons per flush (gpf) or less. The rebate amount for a qualifying HET is $50 (maximum 2 per household). Eligible HET's are as follows:
• ALL HETs must be new;
• All HET’s must have a low volume flush of 1.28 gpf or less; • All toilets being replaced must be models using 3.5 gpf or greater; • All HETs must bear the WaterSense logo and must be on the list of WaterSense labeled toilets found at www.epa.gov/watersense.

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