Irrigation System Smart Controller Rebate Application
Applicant Information
Name
Phone
Email
Address
City
ZIP Code
Property Information
Property Type
Residential
Commercial
Other
Water Account Number
Smart Controller Details
Manufacturer
Model
Date of Purchase
Purchase Price ($)
Installation Details
Date of Installation
Installed by
Self
Contractor
Contractor Name (If applicable)
Supporting Documents
Upload Receipt (PDF, JPG, PNG)
Upload Photo of Installed Controller
Agreement & Signature
I certify that all information provided is accurate and the controller was installed as described.
Signature
Date