Commercial Water Efficiency Rebate Form

Applicant Information

Applicant name

Applicant Organization/Entity

Where can I find my customer number and account number? They are located on your Thornton utility bill.

Click here to view an example utility bill.

Customer number

Account number

Type of Organization

Contact person

Address

City

State

Zip

Office phone number

Cell phone number

Project Information

Property owner name

Property owner phone number

Project name

Project Address/Location

City

State

Zip

Project overview (purpose and need)

What are the anticipated water savings following your project's completion? Please attach calculations/explanation below

Are you receiving grant funding or rebates through other sources? If so, please explain

Anticipated Start Date

Anticipated Completion Date

Contractor Name, if applicable

Contractor Phone Number, if applicable

Contractor Email Address, if applicable

Project installation cost estimate (please provide copy of estimate/invoice below)

Attachments

The following attachments are required for us to process your form. Without them we cannot give out rebates.

Project Design: Attach plans or include a basic sketch including products, materials, and process improvement details

Choose one or more files to upload.

Water Savings Calculations: Grant Only - The project must meet the required water budget (not exceeding 10gallons/sq.ft. per year)

Choose one or more files to upload.

Project Cost Estimate: Grant Only - Submit Project Design Cost Estimate

Choose one or more files to upload.

Applicant Signature

I will provide before and after photos and other requested documentation for the project

I agree to a post-project inspection by Water Resources Staff

If this project does not show water savings, I agree to work with the city to figure out why and make adjustments to achieve water savings

Applicant Signature

Date

Cancel

Applicant Information

Project Information

Rebate claims

Commercial Building Water Efficiency Rebate

Commercial Landscape Grant

Commercial Irrigation Efficiency Project

Attachments

Applicant Signature