Region of Waterloo Form

Required fields are marked with asterisks (*)

WET Home Water Review Program Application

Please complete this application if you are interested in receiving a free in-home review of your water use.

Single family homes using more than the average water use of 150 litres per person per day or 4.5m3 per person per month will qualify for a water use review free of charge. There is no water consumption minimum requirement if you are registering in the Region's Water Softener Plumbing Rebate Program.

As part of the review, the Region of Waterloo's partner, Greenbrain, will evaluate your household's water efficiency and check for possible fixture leaks and related water issues. You will be provided with a report following the visit.

Please note that by completing this application you are not committing to having a water review. A representative will review your application and then contact you to schedule your visit.

Applicant Information

 Please complete this section with your contact information. 

Please provide your preferred contact method in case we need more information.
Please indicate if you have preferred day of the week for your review.

House Information

 Please complete this section with information about the property. 

Are you the property owner?
Is this application for a single family home or a multi-unit residential building?

Household Water Use Information

Please complete the information in this section regarding your household water use.

Program Information

Why are you interested in having a home water review? Please select up to 2 responses.
Are you interested in learning more or registering for the Region's Water Softener Plumbing Rebate program
Are you interested in learning about the Region's other Water Efficiency programs to save water and money in your home and/or business?

Notice of Collection of Personal Information

To the extent that the foregoing information constitutes personal information as defined in the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, chapter M.56 as amended, the information is subject to provisions of that Act and will be used to collect information for the purpose of the Region of Waterloo's WET Home Water Review Program and to monitor water savings. Any questions regarding the collection of this personal information should be directed to Dan Meagher, Supervisor of Communications & Source Water Protection Program, at or 519-575-4400 ext. 4423. 

I have read and understood the above notice of collection of my personal information.

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