HOA-Paid Water Bills: Residential Toilet Rebate Application

This toilet rebate application form is only for customers whose HOA pays their water bill. If you pay your own water bill, please visit waterrebates.aurorawater.org to submit your toilet rebate application.

Call the Aurora Water Conservation Department at 303-739-7195 with questions or comments.

Contact Information

Phone Number

What is the name of your HOA

Old Toilet information

Toilet 1

Age (years old) *

Gallons per flush *

Toilet 2

Age (years old)

Gallons per flush

New Toilet information

New Toilet 1

Cost $ *

Gallons per flush *

Make/Model *

Purchase Date - New Toilet 1

New Toilet 2

Cost $

Gallons per flush

Make/Model

Purchase Date - New Toilet 2

Optional Information

Comments

Sign and Submit

Upload Toilet Receipt(s)

Click Here to Upload

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I accept all program requirements and authorize the release of photos, quotes and water data to be used by Aurora Water.