Rebate Application

Customer Information

Please enter your information. Must be a City of Turlock customer account. Rebate will be issued in the form of a credit to the utility account within 30 days from rebate approval.

Name
Account Number
Address

Phone Number
Email Address

Appliance Information

Please enter the following information about your appliance.

Store Purchased
Purchase Date
Please answer the date the appliance was purchased

Appliance Brand (Make)
Appliance Model
Address of installation
Purchase Price
Date of Installation
Please answer the date the new appliance was installed. Appliance must be installed within 30 days of purchase.

Year Residence Built
Make and Model of Old Appliance

Photo Evidence

Please upload photographic evidence to be attached to your rebate application.

Signature

By submitting this Rebate Program Application, applicant agrees to the following:

The undersigned expressly agree that the City of Turlock (City) may inspect all properties participating in the High Efficient Washing Machine and/or Toilet and/or Dishwasher Rebate Program(s); that the City does not guarantee the performance of any washing machine and/or toilet and/or dishwasher; and that the City does not warrant any washing machine and/or toilet and/or dishwasher or installation thereof, to be free of defects; the quality of workmanship, or the suitability of the premises or the actual appliance for the installation. The undersigned further agrees to defend, indemnify and hold harmless the City, their directors, officers, agents, and employees, from and against any and all loss, damage, expense, claims suits and liability, including attorney's fees arising out of or in any way connected with the washing machine and/or toilet and/or dishwasher and its (their) installation. Applicant has read, understands and agrees to the terms and conditions listed on the High-Efficient Washing Machine and/or Toilet and/or Dishwasher Rebate Program application. Applicant understands that installation of a qualifying High-Efficient Washing Machine and/or Toilet and/or Dishwasher may not result in lower water bills. The City reserves the right to add or remove eligible High-Efficient Washing Machines and/or Toilets and/or Dishwashers from the list or change the terms of the incentive offer at any time.