Water Smart Business application form

Required fields are marked with asterisks (*)

Water Smart Business application form

In consideration of receiving the Water Review, Water Audit and Water Smart Business Incentive under this Water Smart Business Program, the undersigned Applicant acknowledges and agrees to the program terms and conditions.

If you have questions or require this application to be provided in an alternate format as per the Accessibility for Ontarians with Disabilities Act, 2005, please contact 519-822-1260 extension 3494.

Contact information

First name

Last name

Main phone

Business information

Business name

Street address

City

Postal code

Water account number (Alectra Utilities)

Type of business

Where did you hear about the Water Smart Business Program?

Choose one of the following options

I would like a Water Smart Business consultation

I use less than 10 cubic metres per day, and I would like the City to conduct a free 30-day water review

I use at least 10 cubic metres per day, and I am applying for financial incentives to cover 50% of the cost of a seven-day water audit (up to $10,000)

I am applying for financial incentives to recover costs associated with a water conservation project

I have read, understand and agree to the Water Smart Business Program Terms and Conditions as set forth by the City of Guelph.

Yes

Collection of personal information

Personal information is being collected and will be used for the purpose of conducting Water Smart Business consultations.

Personal information, as defined by Section 2 of 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.

If you have questions about the Water Smart Business consultation program please contact Water Services at watersmartbusiness@guelph.ca.

If you have questions about the collection, use or disclosure of this personal information please contact the City’s Information and Access Coordinator at 519-822-1260 extension 2349 or email privacy@guelph.ca.