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Free Selective Flush Toilet Retrofit Application

  1. Application Form

  2. Qualifications*

  3. Customer Account Data*

    Check One

  4. Agreement Terms and Conditions

    The City reserves the right to deny any application that may not meet the program’s intent and/or requirements. The toilet retrofit valve kit is free of charge; however, the City can only hand out as many units as there is funding. The installation cost is the applicant’s sole responsibility; applicant agrees to have it properly installed in a Hallandale Beach property within 30 days of pick-up. The applicant agrees to allow the City or a designated representative to inspect and confirm the retrofit kit installation. The City does not endorse this product, nor is it responsible for any type of damage that may occur to the applicant’s property as a result of the installation of the product. The City cannot guarantee lower water bills as the result of this installation, since these depends on the user actions. The undersigned acknowledges that the selective dual-flush toilet retrofit unit will be installed in accordance with the terms herein established and accepts full responsibility for this installation.

  5. Agreement Terms and Conditions*

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