Affordable Housing Water Efficiency Incentive Application

Customer Information

1. Customer Information

Organization Name *This question is required.

Legal Name (if different)

501c3 Tax Number

Utilities Account Owner Name *This question is required.

Property Owner Name (if different)

Project Contact Name *This question is required.

Project Contact Phone Number *This question is required.

Project Contact Email Address *This question is required. This question requires a valid email address.

2. Last 5 Digits of Fort Collins Utilities Account Number
*Must be a Fort Collins Utilities commercial water customer to apply *This question is required.

3. Project Site

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

Zip *This question is required.

If the project has multiple addresses, please list them below.

4. Please check which application(s) you would like to complete. *This question is required.

Indoor Efficiency Application
Outdoor Efficiency Application