Do I need a notary for the Rohnert Park rebate application?

No. The application does not require notarization; the occupant signs it and the property owner provides the required authorization signature.

Who can apply for a toilet or clothes washer rebate?

The home must be in the city water service area and connected to the water system. The new qualifying fixture or washer must be installed, and the application must be received or postmarked within 90 days of purchase or delivery.

What documents should I include with the application?

Include original purchase receipts with the completed and signed application. The city says incomplete applications and applications without a purchase receipt will be returned.

Rohnert Park, CA · Sonoma County

No notary required

High-Efficiency Toilet and Clothes Washer Rebate Application

Rohnert Park residents use this application to request rebates for qualifying high-efficiency toilets and clothes washers installed at a home connected to the city water system.

What this form is

This application requests a water-efficiency rebate for qualifying high-efficiency toilets and/or clothes washers installed at a home in Rohnert Park’s water service area. The form asks for water account and occupant details, the installation address, product and model information, and rebate-check mailing information; it also requires the owner’s authorization. The city requires the completed, signed application and original purchase receipts within 90 days of purchase or delivery.

Who needs it

A Rohnert Park water customer seeking a rebate for an eligible toilet or clothes washer installed at a qualifying home should complete this application.

How to submit it

Complete and sign the application, then mail it with original purchase receipts to the City of Rohnert Park Water Conservation Program, 130 Avram Ave, Rohnert Park, CA 94928.

About notarization

This application is signed without a notary; the occupant completes and signs it, and the property owner provides a required signature for authorization.

How to submit this form

1
Download The Application
Download the Rohnert Park rebate application for qualifying high-efficiency toilets and clothes washers.
2
Check Eligibility
Confirm your home is in the city water service area and connected to the city water system, and that your new product is on the qualifying list.
3
Complete And Sign
Enter the requested account, occupant, address, and product details. Sign the form and obtain the required property owner authorization.
4
Gather Receipts
Include the original purchase receipts. The application must be received or postmarked within 90 days of purchase or delivery.
5
Mail To The City
Mail the application and receipts to the City of Rohnert Park Water Conservation Program, 130 Avram Ave, Rohnert Park, CA 94928.

Frequently asked questions

Do I need a notary for the Rohnert Park rebate application?: No. The application does not require notarization; the occupant signs it and the property owner provides the required authorization signature.
How do I submit the Rohnert Park rebate application?: Mail the completed, signed application with original purchase receipts to the City of Rohnert Park Water Conservation Program, 130 Avram Ave, Rohnert Park, CA 94928.
Who can apply for a toilet or clothes washer rebate?: The home must be in the city water service area and connected to the water system. The new qualifying fixture or washer must be installed, and the application must be received or postmarked within 90 days of purchase or delivery.
What documents should I include with the application?: Include original purchase receipts with the completed and signed application. The city says incomplete applications and applications without a purchase receipt will be returned.

Need something notarized?

This High-Efficiency Toilet and Clothes Washer Rebate Application doesn’t need a notary — but if you have another Rohnert Park form that does, a commissioned online notary can help.