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Portland Water Bureau Water Efficiency

conserve@portlandoregon.gov

503-823-4527 (TTY 503-823-6868)

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Residential toilet rebate

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.

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What best describes the way you pay your water bill?

If you have a Rockwood Water account, please apply for your rebate through their program at rwpud.org/water-conservation/toilet-rebate-program/

If you do not know who your water provider is you can use the water provider lookup tool at regionalh2o.org/drinking-water-advisory-tool.

Applicant Name

Address

Address (including unit number)

Are you the renter or owner of your home?

Does the owner know that you are applying for a rebate?

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?

All set? Please check the items to indicate you're ready to upload. Proof of purchase for the new toilet and proof of recycling for the old toilet are required. Missing receipts will delay your rebate:

The document upload feature may not work well for some assistive technologies.

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 note: While using the upload tool below to attach your receipts, please remember to push the 'Upload' button in lower right corner of the upload box after you have selected or drag and dropped your receipt files into the 'Selected Files' list. If you do not follow this step, the receipts will not be attached to your submission. 

Please attach / upload the required rebate files. Applications with missing receipts will be delayed.

Click Here to Upload

Please note: While using the upload tool above to attach your receipts, please remember to push the 'Upload' button in lower right corner of the upload box after you have selected or drag and dropped your receipt files into the 'Selected Files' list. If you do not follow this step, the receipts will not be attached to your submission. 

Are you currently enrolled in Portland Water Bureau financial assistance?

Portland Water Bureau customers enrolled in the financial assistance program are eligible for up to a $100 toilet rebate credit.

How did you hear about the rebate?

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.

Customer signature

Choose how to sign