Request for wastewater rebate form

Required fields are marked with an asterisk (*)

To be completed by applicant
Service location
Is the mailing address the same as service (civic) address? *
Mailing address
Nature of Business
A customer may be eligible for a wastewater rebate if the customer uses more than 1,000 m3 of water in a one year period and they can demonstrate to the satisfaction of the Commission that the volume of Wastewater Discharged by the Customer into the Commission's Wastewater System is less than the volume of water used by the Customer.

Please note, the rebate does not apply to the Wastewater Discharge Base Charge, nor to leakage or wastage from a metered water supply.

Please provide a description of why the volume discharged to the wastewater system is less than the volume of water used by the property:
In accordance with Section 485 of the Municipal Government Act (MGA), the personal information collected on this form will only be used by Halifax Water staff for purposes relating to the provision of water and/or wastewater/stormwater services. If you have any questions about the collection and use of this personal information, please contact Customer Service at (902) 490-4820 or
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