GET A $99 ACCOUNT CREDIT!

Replace your old toilet with a new high efficiency, low flow, WaterSense® toilet!

Toilets are by far the main source of water use in the home, accounting for nearly 30 percent of residen- tial indoor water consumption. Toilets also happen to be a major source of wasted water due to leaks and/or inefficiency. WaterSense®, a program sponsored by the U.S. Environmental Protection Agency (EPA), is helping consumers identify high performance, water-efficient toilets that can reduce water use in the home and help preserve the nation's water resources.
So whether you're remodeling a bathroom, building a new home, or simply replacing an old, leaky toilet, a WaterSense® labeled toilet is a high-performing, water-efficient option worth considering. Water- Sense® labeled toilets are available at a wide variety of price points and a broad range of styles. EPA esti- mates that a family of four that replaces its home's older toilets with WaterSense® labeled models will, on average, save more than $90 per year in reduced water utility bills, and $2,000 over the lifetime of the toilet. For more information about the WaterSense® program and a list of approved toilets, call 866-WTR
-SENS (987-7367) or online at www.epa.gov/watersense.

HOW TO PARTICIPATE IN THE CSID TOILET CREDIT PROGRAM
Have an active residential water account with CSID.
Buy and install a 1.28 GPF EPA-approved WaterSense® toilet.
Get Toilet Credit Program Application from our website. (Limit: Maximum of two toilet credits per residential unit for life of account)
Submit completed application package and receipt for toilet (s).
Once approved, $99 credit per toilet will be applied to your account.
For more information visit www.csidfl.org or call (954) 753-0380.

Coral Springs Improvement District Utility Billing Department
10300 NW 11th Manor Coral Springs, FL 33071
Phone: (954) 753-0380	Fax: (954) 753-8784
www.csidfl.org

Coral Springs Improvement District $99 Toilet Rebate Program (10/2021)

PLEASE FOLLOW THE EASY STEPS BELOW:

Step 1: Purchase and install your new Water Sense toilet(s). Step 2: Fill out and complete the application.
Step 3: Submit the required documentation which includes the following items:

Application
Receipt of Purchase
Pictures of Installed Toilet(s)
Copy of Government issued Photo ID

Step 4: Receive a $99 credit per toilet on your next utility bill.

Limit 2 toilet rebates per household for the life of the account.

Please don’t forget to save copies for your own record.

Terms and Conditions to Participate

All applicants must be replacing a toilet that currently uses more than 1.6 gallons per flush (gpf) with a U.S. EPA WaterSense® High-Efficiency Toilet (HET) that uses 1.28 gpf or less. WaterSense® dual flush toilets must also use 1.28 gpf or less for both flush options.

Up to two $99 toilet rebates will be allowed per qualifying household, or the cost of each toilet, whichever is less. Taxes, and cost of toilet seat (if purchased separately), do not qualify toward rebate amount. Limit 2 rebates per household for the life of the account
Single-family, townhouse and condo applicants must own and reside in the residence within the program area where the toilet(s) will be installed.
Single-family, townhouse and condo applicants must be a water account holder that receives water directly from the Coral Springs Improvement District. However, condominium owners may contact their Condominium Association or their management company to obtain that account holder information.
Commercial, institutional, and multi-family applicants must either own the property or must be authorized by property owners to participate and the property must be located within the district boundaries and receives water directly from CSID.
Applicant is solely responsible for the purchase and installation of the toilet(s) and all related parts, permits and equipment.

Toilets may be subject to inspection, and applicant may be contacted by a CSID Rebate Administrator (or his/her Designee) to schedule an on-site installation verification inspection, and if contacted, you agree to consent to a post-installation inspection.
Applications will be processed on a first-come, first-served basis, and are subject to the availability of funds, or until the program is terminated.
The approved rebate will appear as a credit on the utility holder’s account. Checks will not be sent.

When submitting your receipts and other required documentation, the applicant’s name must appear on the receipt and must be the same name of the person on the application. Failure to provide rebate receipts and documentation that have the same name as the application will result in the rebate being denied.
Documentation for the rebate must be submitted within 90 days of the purchase date of the toilet(s)

Accounts must be paid and current in order for the rebate to be applied to the utility holder’s account

This program is subject to modification, suspension, or termination without prior notice.

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Toilet Rebate Disclaimer: Coral Springs Improvement District (the District) reserve the right to reject any application that does not meet all of the requirements of this rebate program. The Coral Springs Improvement District does not guarantee that the installation, operation and maintenance of water-efficient equipment will result in reduced water usage or in cost savings. The District makes no warranties, expressed or implied, with respect to any equipment purchased or installed, including but not limited to, any warranty of merchantability or fitness for a particular purpose. In no event shall the District be held liable for any incidental or consequential damages or injuries resulting from defective equipment or installation.
Limitation of Liability/Release: Applicant understands and agrees that, to the extent not prohibited by law, in no event shall the District, its officials, officers, employees or agents be liable for any claimed or actual damages or losses of any kind, however caused and regardless of the theory of liability, related in any way to this rebate program, even if the District has been advised of the possibility of such damages or losses. To the extent not prohibited by law, applicant assumes all risks associated with this program, including without limitation, all risks associated with purchase, installation and maintenance of a High-Efficiency Toilet (HET) subject to this program (including, without limitation, the risk of not realizing water usage savings or cost savings as a result of converting to a HET), and the removal and disposal of the toilet that you replaced, associated parts, building materials, labor and equipment in connection therewith. Applicant releases and holds harmless the Coral Springs Improvement District, its officials, officers, employees and agents from any and all claims for damage, death or injury to any persons or property arising in any way from this rebate program, including the installation and maintenance of an HET, associated parts, building materials, labor and equipment subject to this program (including without limitation the use, operation and maintenance thereof), or the removal or disposal of the toilet that you replaced, associated parts, building materials, labor and equipment in connection therewith, other than those caused solely by the willful or grossly negligent acts or omission of the District.

You may complete and submit your application in one of the following ways:

1.)Download, Print, and Complete Application then mail it to: CSID Toilet Rebate Program 10300 NW 11th Manor Coral Springs, FL 33071. Please mail under separate cover...do not include payment for your monthly bill.
OR
2.) Email Completed Application or Questions to: billing@csidfl.org, the subject line should include “Toilet Rebate Information”

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Coral Springs Improvement District
Customer Service
10300 NW 11th Manor • Coral Springs, Florida 33071 • 954-753-0380 • billing@csidfl.org

GUIDELINE: APPLICATION FOR RESIDENTIAL CREDIT FOR USEPA WATERSENSE® TOILET

Purpose: This guideline summarizes the Coral Springs Improvement District CSID procedures to implement a re-
quest for a credit for the installation of USEPA WaterSense® Labeled Toilet for residential customers.
Before any request for credit will be approved, CSID requires receipt of the following documents for review: 1 com- plete, signed, and dated Application for Residential Credit for USEPA WaterSense® Toilet; 2 government photographic identification ID of person authorized to apply for the residential toilet credit program, and 3 supporting documenta- tion verifying the Application e.g. paid invoice on vendor letterhead identifying WaterSense® Toilet purchased/installed identifying the USEPA WaterSense® Toilet make, model and model number, or copy of paid plumber's bill on letterhead identifying WaterSense® Toilet purchased/installed .

Overview: The USEPA has established standards for low flow, high efficiency toilets, and has created the designation of WaterSense® for toilets that meets its low flow criteria of 1.28 gallons per flush. Under the WWS Toilet Credit Pro- gram, WWS will provide a $99 credit to the bill of a WWS residential water customer who replaces an existing toilet in his/her home with a new USEPA WaterSense®-certified unit. Each property is limited to two 2 $99 credits per residen- tial premise. Replacing the existing, older, low-efficiency toilet with an USEPA WaterSense®-certified model could save approximately 11,000 to 18,000 gallons per year per household. Toilets with USEPA WaterSense® certification are avail- able at most local home improvement stores.

Requirements:
Application Residential Rebate for USEPA WaterSense® Toilet - Submit a fully completed, signed, and dated Application by the person authorized to assume responsibility for residential services and charges for the premise.
Government photographic identification ID of person authorized to apply for the residential account toilet credit to assume responsibility for utility services and bills.
Supporting documentation: Verification of purchase and installation of a new USEPA WaterSense®-certified toilet
e.g. copy of dated, paid invoice on vendor or plumber letterhead identifying purchase in full of WaterSense® - certified Toilet s
Photographs of Installed Toilet s

Note:
Residential water utility account credit for USEPA WaterSense® Toilet is subject to the review and approval of CSID. If approved, the credit will be reflected in the next billing for the residential premise account. There will be no additional notification.

LOGO

CORAL SPRINGS IMPROVEMENT DISTRICT WATER AND WASTEWATER SERVICES CUSTOMER SERVICE
10300 NW 11TH MANOR CORAL SPRINGS, FL 33071
PHONE (954)-753-0380	FAX (954) 753-8784

APPLICATION FOR RESIDENTIAL CREDIT FOR USEPA WATERSENSE© TOILET
HOUSE	OTHER
CUSTOMER ACCOUNT NUMBER	TYPE OF RESIDENCE (CHECK ONE)

NUMBER OF TOILETS YOU WILL BE REPLACING (CHECK ONE)	1 TOILET	2 TOILETS

ACCOUNT NAME(S)

IN CARE OF (C/O NAME

PROPERTY ADDRESS	CITY	STATE	ZIP +4	
MAILING ADDRESS	CITY	STATE	ZIP +4	
(	)	(	)	(	)	
HOME PHONE NUMBER	WORK PHONE NUMBER		MOBILE PHONE NUMBER	
EMAIL ADDRESS				
DRIVERS LISCENSE NUMBER (OR PHOTO ID)			STATE ISSUED	
SUPPORTING DOCUMENTATION
PLEASE RETURN THE FOLLOWING DOCUMENTATION, FOR EACH TOILET INSTALLED, TO THE CORAL SPRINGS IMPROVEMENT DISTRICT TO RECEIVE YOUR REBATE. REBATES WILL APPEAR AS A CREDIT ON YOUR BILL IN THE NEXT BILLING CYCLE AFTER THE DOCUMENTATION IS RECEIVED. FAILURE TO RETURN ANY OF THE ITEMS LISTED WILL RESULT IN A DELAY IN YOUR REBATE BEING ISSUED OR DECLINED.
PAID RECEIPT FOR PURCHASE OF USEPA WATERSENSE© CERTIFIED 1.28 GPF TOILET(S) PHOTOGRAPHS OF INSTALLED TOILET(S)
GOVERNMENT ISSUED PHOTO ID

MAKE	MODEL	MODEL NUMBER

MAKE	MODEL	MODEL NUMBER
APPLICANT AGREEMENT: I AFFIRM THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE REGARDING THE PURCHASE AND INSTALLATION OF USEPA WATERSENSE© CERTIFIED TOILET(S) FORM MY RSIDENTIAL PROPERTY. I AGREE TO COMPLY WITH ALL CURRENT AND FUTURE FEDERAL & STATE LAW, BROWARD COUNTY ORDINANCES AND REGULATION AND CORAL SPRINGS IMPROVEMENT DISTRICT WATER AND WASTEWATER POLICIES AND PROCEEDURES. I UNDERTSTAND THAT ANY CREDIT OBTAINED FRAUDULENTLY WILL RESULT IN A REVERSAL OF ACCOUNT CREDIT

APPLICANT SIGNATURE	DATE
RETURN DOCUMENTATION PACKAGE TO CORAL SPRINGS IMPROVEMENT DISTRICT AT THE ADDRESS ABOVE OR EMAIL TO BILLING@CSIDFL.ORG
APPLICATION APPROVAL (INTERNAL USE ONLY)	
			
APPROVE	DECLINED	REBATE NUMBER	SIGNATURE OF APPROVER	DATE	
REV 09/2021