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Lead Service Line Water Filter Rebate Application



Reduce lead levels

The intent of the Lead Service Line Water Filter Rebate Program is to offset the cost of a water filter for Guelph residents who live in a home serviced with a lead service line (LSL). Water filters are a temporary measure to reduce lead levels in drinking water until full LSL replacement—strongly recommended by the City of Guelph as a permanent solution to reducing lead levels in drinking water—can be achieved. Residents living in homes serviced with a LSL are advised to use an approved water filtration device. Children six years of age or younger, pregnant women or women planning a pregnancy who reside in a home with a confirmed LSL are at the greatest health risk from exposure to lead.


To qualify

To qualify for this rebate, a water sample to test for lead must be collected from your residence by City of Guelph Water Services staff. If a lead service line is confirmed, the resident can participate in the Lead Service Line Water Filter Rebate Program. To receive the rebate, residents are required to purchase a water filtration device and/or replacement filter cartridge(s) approved to the National Sanitation Foundation standard NSF-053 to reduce lead in drinking water. The City will not recommend or select the product.


Maximum rebate

The City will provide each qualified homeowner or tenant with a rebate of up to $100 per calendar year. Rebates will be based on the total amount paid on submitted receipts for an approved NSF-053 filtration device and/or replacement filter cartridges(s). A limited number of rebates are available; priority will be given to applicants who reside in a home with children six years of age or younger, pregnant women or women planning a pregnancy.

 

 

Applicant Information







Street






Do children six years of age or younger, pregnant women or women planning a pregnancy live in the home?
 


Rebate Information



Product rated to National Sanitation Foundation standard NSF-053


 

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Terms and Conditions

In consideration of receiving the rebate under the Water Filter Rebate Program, the undersigned Applicant acknowledges and agrees:

  1. THAT The Corporation of the City of Guelph (City of Guelph) is not responsible for the selection, installation, maintenance, operation or misuse of the water filtration device or replacement filter cartridges;
  2. THAT the water filtration device purchased is approved to the National Sanitation Foundation Standard NSF-053 to reduce lead in drinking water;
  3. THAT the water filtration device has been installed in the home where the Applicant resides, which is located in the City of Guelph, was built prior to the mid-1950’s, is connected to the municipal water supply and has a confirmed lead water service line;
  4. THAT the Applicant shall provide the City of Guelph or its agent at its discretion with reasonable access to the drinking water tap for the purpose of collection of water samples to determine levels of lead in the drinking water and to verify the installation of the water filtration device.
  5. THAT the City of Guelph does not guarantee or warrant the water filtration device or replacement filter cartridges or the performance, freedom from defects, quality of workmanship or suitability of the water filtration device or any installation thereof for any purpose, or the suitability of the premises for installation. Further, the Applicant acknowledges and agrees to assume any and all costs of the installation or any alterations necessary for the proper installation and maintenance of the water filtration device, or replacement filter cartridges;
  6. TO indemnify, save and hold harmless the City of Guelph, and its agents, officials, officers, councillors and employees (collectively, the agents) against all liability, loss, costs, damages, and expenses, causes of action, actions, claims, demands, lawsuits and other proceedings, by whomever made, sustained, brought or prosecuted, including by third parties, involving bodily injury, death or property damage, in any way based upon, occasioned by or attributable to the Applicant’s participation in this Program;
  7. TO refund such rebate to the City of Guelph on request, if this application contains any material misstatement or misrepresentation on the Applicant’s behalf, or if the Applicant breaches any of these terms or conditions; and
  8. THAT the City of Guelph reserves the right to alter the terms and conditions or cancel the Lead Service Line Water Filter Rebate Program at any time.


I have read, understood and agree to the terms and conditions of the Lead Service Line Water Filter Rebate Program.
 
I certify that I live in a home with a confirmed presence of a lead service line and have had my water tested for lead by City of Guelph Water Services.
 
I certify that I am submitting valid purchase receipt(s) for a water filtration device and/or replacement filter cartridge(s) that is approved to NSF-053 standards to reduce lead levels in drinking water.
 




(Notice of Collection: The personal information on this form is collected pursuant to the Municipal Act, 2001 and in accordance with the Municipal Freedom of Information and Protection of Privacy Act. This information will be used for the purposes of participation in, and administration of, the City of Guelph Lead Service Line Water Filter Rebate Program. Questions regarding information collection should be directed to the City of Guelph Information, Privacy and Records Co-ordinator, City Hall, 1 Carden St., Guelph ON N1H 3A1 at 519-822-1260 x 2439.)