Mail to: Toilet Rebate Program, 135 Keyes Rd., Concord, MA 01742
Page 2 of 2
CONCORD PUBLIC WORKS
Water and Sewer Division
FY2020 High-Efficiency Toilet (HET) Rebate Application - $100
HET Rebate Terms and Conditions: Please Read and Sign Below
• The rebate for a HET using ≤1.28 gal/flush or a dual flush toilet using ≤1.6/1.1 gallons per full or
solid/reduced or liquid flush that replaces a ≥3.5 gallon/flush model is a $100 credit to your water bill.
• The rebate offer is on a first-come, first-serve basis and is effective from July 1, 2019 – June 30, 2020 or
until funding is exhausted.
• Make, model, and/or gallons per flush of the replaced toilet must be included for an application to be
considered complete. If the applicant is unable to determine these identifying characteristics, it is suggested
that a photo of the replaced toilet be submitted or that the replaced toilet be kept on site for evaluation by
Water and Sewer Staff to determine eligibility.
• Toilets must be purchased between July 1, 2019 and June 30, 2020 to be eligible for rebate.
• All applications must be received by June 30, 2020 to be eligible for rebate.
• Limit 2 HET toilet rebates per household.
• Applications must be post-marked within 90 days of toilet purchase.
• An unaltered, dated sales receipt and/or clearly itemized invoice listing the toilet make and model
number MUST accompany this application. A copy is sufficient.
• Rebates are available to residential and commercial Concord Water customers. Applicant must be the owner
of the property listed on the rebate application.
• Old toilets cannot be reused.
• Applicant is responsible for verifying that the unit is on the WaterSense labeled product list.
• New construction projects and remodeling projects requiring a building permit do not qualify for rebates.
• Applicant agrees and understands that CPW does not guarantee that the installation of a
new toilet will result in water savings, as site-specific water consumption varies.
• CPW does not warrant, endorse, or assume liability for the quality, performance, or safety
of the contractor and/or retailer or wholesaler, or performance of any appliance or fixture.
For performance ratings on participating HETs by manufacturer and model number, you
can visit the Maximum Performance (MaP) testing website at www.map-testing.com.
• Applicant agrees to hold harmless CPW, its commissioners and employees against loss,
damage, expense and liability resulting from the loss, destruction or damage to property
arising out of or in any way connected with the installation of a toilet.
• Applicant agrees and understands that the program may be discontinued and/or the rebate dollar amounts
may be changed due to the actions of the Concord Public Works Commission or the exhaustion of program
funding, at any time, without further notification to customers possessing outstanding applications.
• Applicant agrees and understands that CPW or its representatives reserve the right to inspect the installation
of the fixture before or after the rebate credit is applied to the applicant's water bill.
• Applicant understands that CPW may withhold rebate until any or all of the above listed conditions are met.
By signing and submitting this rebate application, you agree to allow a post-installation inspection by Water
and Sewer Staff during normal business hours, if requested.
I have read, understand, and agree to the terms and conditions of this rebate program.
_____________________________________________________ ______________________
Signature of applicant Date
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