Public Works > Water Smart Peel > For Businesses

Region of Peel Water Efficiency Program - Online Application Form

Congratulations on completing your water efficiency upgrades.

To apply for a Region of Peel Water Efficiency incentive, please complete the following online application form and submit the associated receipts.

If you require clarification on eligible water saving upgrades please visit watersmartpeel.ca.

Required Fields ( * )

Applicant Information Corporation Name (if applicable):
Applicant First Name: *
Applicant Last Name: *
Applicant Position Title: *
Applicant Phone Number: *
Applicant Email Address: *

Location of Upgrade Business Name: *
Business Address: *
Unit # (if applicable):
Business Phone Number: *
Building Owner or Tennant: *

Water Account #: *

Mailing Address (if different from above): Business sector: *

Other: *

Upgrade Information

Incentive: * Make and Model of Old:
Make and Model of New: *
Install Date: *
Quantity Replaced: *

Add Additional Upgrade

Terms and Conditions

The following section is to be completed by the Applicant. If the applicant is a corporation it must be completed by an authorized signing officer of the corporation.

Before submitting your application, please ensure you read the terms and conditions. By entering your first and last name and checking the 'I agree' box below, you acknowledge the following:

The information provided in the application form is true;
If the applicant is a corporation, I am an authorized signing officer of the corporation;
I have read and agree to the Region of Peel Water Efficiency Program terms and conditions.

First Name: *
Last Name: *
I agree to the terms and conditions for the Region of Peel Water Efficiency Program

I acknowledge that in order for my application to be processed, I must also submit a copy of the associated receipt(s) using one of the following methods:

via email to EMAIL ADDRESS or
Mail to: Region of Peel Water Efficiency Program, 2 Copper Road, Brampton Ontario, L6T 4W5