2. Request for a Home Water Assessment
   Schedule a visit with a Water Conservation Specialist to look for opportunities to increase water efficiency in your home. We can: 1) check toilets and other plumbing fixtures for leaks*, 2) provide free water-saving devices, brochures, and information to help reduce water use, 3) help locate water meter and explain how to view the read, and 4) make recommendations.
4. First Name
5. Last Name
7. Street Address
8. City
10. Phone
11. Email
13. Preferred Appointment Time

    1. Morning
    2. Afternoon
    3. No preference
14. Preferred Appointment Date
    Please provide three (3) suggested dates for a visit. Our small team will do our best to accommodate your preference.
16. Have you registered for your free WaterSmart account?

    1. Yes
    2. No
    3. Not sure
18. Anything you would like us to know?
20. Thank you for your interest in a home water assessment.
    *Our Water Conservation Specialists are not licensed plumbers. We cannot make repairs, determine water pressure, or substitute for a visit from a plumber when needed. For questions about home water assessment visits, please call 706-613-3729.
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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