Multi-family toilet rebate
There are known accessibility issues with this fillable web form. Several of the issues impact screen reader users, such as form error messages not being detectable to screen readers. We are actively working with the software developer GovOS to resolve these issues. If you need assistance completing this form, please contact us by phone or email at 503-823-4527 (Oregon Relay Service 711) or conserve@portlandoregon.gov .
The City of Portland is committed to providing meaningful access. To request translation, interpretation, modifications, accommodations, or other auxiliary aids or services, contact 503-823-4527, Relay: 711.
Traducción e Interpretación | Biên Dịch và Thông Dịch | 口笔译服务 | अनुवादन तथा व्याख्या | Устный и письменный перевод | Turjumaad iyo Fasiraad | Письмовий і усний переклад | Traducere și interpretariat | Chiaku me Awewen Kapas | Translation and Interpretation: 503-823-4527 | portland.gov/water/access
City of Portland sewer/stormwater/water account number
Number of total units Duplex Triplex Four to forty units More than forty units
Property owner
Contact person
Phone number (if we have questions about your rebate submission)
Email (if we have questions about your rebate submission)
How many rebates are you applying for? Choose One 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
Estimated age of the toilet(s) you replaced. If you replaced more than one toilet, select the average age of the fixtures. Choose One 1992 to present (1.0 to 1.6 gallons per flush) 1980 to 1992 (3.5 to 4.5 gallons per flush) 1950 to 1980 (5.0 gallons per flush) Pre-1950s (7.0 gallons per flush) I don't know
Finding the age of your toilet(s): There's usually a date stamped in the tank of the toilet. You can find it either on the inside of the tank near the top and above the water line, or on the underside of the tank’s lid. This is the date the toilet was made.
Where did you recycle your old toilet?
The document upload feature may not work well for some assistive technologies.
While using the upload tool below to attach your receipts, please remember to push the blue 'Upload' button after you have selected or drag and dropped your receipt files into the 'Selected Files' list.
If you can’t upload documents directly into this form, you may also email them to rebates@portlandoregon.gov . Call 503-823-4527 for help.
Please attach/upload the required rebate files:
Rebate agreement / release of liability
We, the Portland Water Bureau, may deny any application that does not meet all of the toilet rebate program eligibility requirements.
We reserve the right to alter or cease this program at any time.
We are not responsible for the quality of the toilet purchased and we do not warranty any toilet, or any fixture comprising a component in any toilet, or the installation of any toilet.
We do not guarantee lower water bills as a result of participating in the toilet rebate program.
We are not responsible for any damage that may occur to the applicant’s property as a result of removing the old toilet or installing the new toilet under this program.
The undersigned agrees to hold harmless the City of Portland and the Portland Water Bureau from and against all loss, damage, expense, and liability resulting from or otherwise relating to the purchase, installation, use or removal of a toilet.
