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Blue Built Home Certification and Rebate Claim form

Owner of a single-family home


For owner of a newly built single-family home that builder has constructed according to Blue Built Home certification requirements.

Applicant information






Address










I have had a residential water audit
 

Blue Built Home certification requirements


Please select all of the Blue Built Home requirements you meet. Provide as much information as you can about the products including those completed before, during or after your residential water audit:
 

Primary options






Efficient hot water distribution system


Pipelengths meets Blue Built Home requirements
 

Secondary options







Blue Built Home Healthy Landscapes visit?
 


To receive any rebates and the Blue Built Home certification, you must provide proof of purchase for all water saving features you have bought and installed to meet the Blue Built Home requirements. Your total rebate is calculated based on the allocations per fixture, or appliance and/or system as verified through proof of purchase dated no more than one year from the submission of this form. The City of Guelph may request a site visit to confirm the installation of water saving products.

Please upload proof of purchase if you are claiming a rebate for a washing machine, dish washer, sub-water meter, or other water efficiency option as qualifies for this program and as approved by the City of Guelph.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I have read, understand and agree to the terms and conditions of the Blue Built Home Program
 
I certify that I have bought and installed the water saving features indicated in this application.
 
I pledge to be water wise and uphold the values of the Blue Built Home program
 

Collection of personal information


Personal information, as defined by the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA. Personal information on this form will be used for the purpose of processing Blue Built Home Certification and Rebate Claims.

If you have any questions regarding the above program please contact Water Services at 519-822-1861 extension 2116 or bluebuilthome@guelph.ca.

If you have questions about this collection; use, and disclosure of this information, contact the City of Guelph’s Access, Privacy and Records Specialist at 519-822-1260 extension 2349 or privacy@guelph.ca.