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Rain Barrel Rebate Program Application 7/1/17 - 6/30/18

  1. Providing an Email address will speed up the response time to your application.

  2. Are you the Property Owner?*

  3. Type of Property*

  4. Have you previously applied for this rebate?*

  5. Attach to Application

    • When the completed application is approved, an appointment may be scheduled for a brief visual inspection by the City
    • You will be notified should a final inspection of the replaced rain barrel be required.
    • Application must be approved prior to rebate.
    • An original itemized dated sales receipt is required prior to rebate approval.
    • Limit $100 per account
    • Application must be received within 60 days of sales receipt.
    • Compliance with attached guideline is required.
  6. The City of Modesto may deny any application that does not meet program requirements. The undersigned expressly agrees that the City may inspect all items submitted for the Rain Barrel Rebate Program. The City does not guarantee the performance of any rain barrel; does not warrant any rain barrel or installation to be free of defects, the quality of the workmanship, or the suitability of the premises or the rain barrel for installation. The undersigned further agrees to hold harmless the City of Modesto against all loss, damage, expense, and liability resulting from the loss, destruction or damage to property arising out of or in any way connected with installation of the rain barrel. The City reserves the right to alter this program at any time. Funding for this rebate program is limited to available resources. Rebates are processed on a first come, first served basis. For further questions, please call (209) 342-2246.

  7. Electronic Signature*

  8. Leave This Blank: