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Blue Built Home Certification and Rebate Claim form

Property owner or manager of multi-residential building

For property owner or manager of a multi-residential building that has had a free Multi-residential Water Audit and now meets the Blue Built Home certification requirements.

Applicant information

Address of property to be Blue Built Home certified

Building information

Is the building owners address different from the applicant building address?

A free City of Guelph Multi-residential Water Audit has been conducted at this building.

Blue Built Home certification requirements

Please select all of the Blue Built Home requirements your multi-residential units meet. Include those completed before, during or after your multi-residential water audit.

Primary options

Secondary options

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.


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, encourage responsible water use by the tenants 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

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