Apply now to qualify for a free water-saving checkup for San Diego

Customer Information

First Name:*

Last Name:*

Title (select one):*

Phone - Day:*

Phone - Mobile:

Email*

Property Information:

Property Name (Commercial, Industrial, and Institutional Sites Only):

Property Address:*

City:*

Zip Code:*

Property Type (select one):*

Multifamily Type:*

Apartment
Mobile Home Park
Condo Association
Homeowner Association
Master Association

Year Built:*

Occupancy:*

Type of water meter(s) (select all that apply):*

Separate water meter for irrigation
Indoor and irrigation served by the same meter

Does this site use recycled water?*

Yes
No

Irrigated Landscape Area (estimated SF or acres):*

Example: 1.3 acres

Total Property Size (estimated SF or acres):*

Example: 2.5 acres

Condition of Landscape:*

Good (Looks good. Well maintained.)
Fair (Not all areas in good condition.)
Poor (Significant improvements needed.)

Is a site map showing landscaped/irrigated areas available?*

Yes
No

Billing Information:

Billing Address is the same as property address?*

Yes
No

Address:*

City:*

State:*

Zip:*

Primary Water Account #:*

Account number must be accurate in order to process your request.

Water Agency:*

Note: Water agency is the entity that provides and bills for water service. It may or may not be the local municipality.

Your water agency currently does not participate in this program, but may offer similar services directly to their customers. If you would like a website link and/or phone number for your water agency, please click here.

Appointment Day

What days of the week are convenient? Please check all that apply

Appointment Time

Do you prefer a morning or afternoon appointment? Please check all that apply

AM
PM

Landscape Contractor Information (optional)

To complete an effective and efficient review of your irrigation system, we’ll need to walk the property with an individual who is familiar with the irrigation system and can operate it to conduct a few tests. Please let us know who that person would be. We can confirm this information a week before the site visit.

We will not contact the contractor unless you provide prior approval.

Do you use a landscape maintenance contractor?*

Yes
No

Company Name:

Contact First Name:

Contact Last Name:

Title:

Phone:

Mobile:

Fax:

Email:

Feedback

Reason for Participation (select your greatest concern):*

Conservation (It's the right thing to do.)
High water and/or sewer bill
High water usage
Planning landscape change
Planning plumbing upgrade
New home
Need help identifying problems

How did you hear about this program? (select all that apply)*

Water agency representative
Water agency website
Flyer or bill insert
News
Landscape contractor
Word of mouth
Other

Which website provided you program information?

Which newspaper, radio station, or magazine?

What other source?

Keep me informed about water-efficiency programs, rebates and incentives.

Yes

Agreement

The San Diego County Water Authority (Water Authority) and its member agencies sponsor the WaterSmart Checkup Program. This Program is managed by Mission Resource Conservation District (Mission) on behalf of the Water Authority.

The Customer is interested in reducing landscape water use on the Property and requests assistance in doing so from the Program. By signing below, the Program’s irrigation specialists have permission to be on the Property for the sole purpose of conducting an irrigation system survey, which also includes programming and reprogramming of irrigation controllers, landscape area measurement, residential indoor fixtures review (if applicable), and/or follow-up site visit. The Customer acknowledges that any advice that may be provided by the Program staff is based on limited observations of Customer’s Property and is only a guideline. The Customer must: (1) decide if the advice is appropriate; and (2) continue diligent observation, maintenance and management of the site to respond to changing conditions. Mission and the Water Authority do not warrant the accuracy of the landscape area measurement.

The Customer agrees that Mission and the Water Authority shall not be liable for damages to the property or claims resulting from irrigation system observations, advice or from the Customer’s possible use of Program advice. Mission and the Water Authority assume no responsibility for the possible legal establishment of any property/boundary lines, water rights or for area estimates shown or used.

The Customer agrees to hold harmless, defend and indemnify Mission, the Water Authority and its member agencies (and each member of their Boards of Directors and their officers, employees, agents and subcontractors) from any liability and claims of any kind (including attorney’s fees and costs) arising out of or in connection with Program activities, including but not limited to liability or claims resulting directly or indirectly from any act or omission of Mission.

Participation in a site visit and checkup is absolutely free of charge for the Customer.

Records Release
The owner, or water account holder, of the above property allows Mission/Water Authority to obtain water use records for this facility as part of the Program. These records will be treated in a confidential manner to the extent it is consistent with the California Public Records Act, Government Code Section 6250 et. seq.

AGREED AND ACCEPTED:
The individual(s) executing this agreement represent and warrant that they have legal capacity and authority to do so on behalf of their respective legal entities.

By checking the box below, you are certifying the information above to be correct.

Certification