Town of Billerica Toilet and Clothes Washer Rebate Program Application Page 1 of 2 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the 'Customer Information' section. Fill in your name, mailing address, account number from your water bill, and contact numbers for both day and evening.
  3. Provide your email address and indicate whether there is an in-ground irrigation system at the property. Next, specify the number of toilets at the address and list their make(s), model(s), and year manufactured.
  4. Indicate how many rebates you are requesting and how you heard about the program by checking the appropriate boxes.
  5. For each rebate type (toilets, urinals, clothes washers), fill out the corresponding sections with details such as manufacturer, model name, model number, purchase date, and price.
  6. Ensure that all fields are completed accurately before saving your progress. Review the guidelines on page 2 for any additional requirements.

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