City of Tamarac
Compost Program
Rebate Application Form

All information must be completed to avoid claim denial or processing delays.
One Rebate Per Household.

CUSTOMER INFORMATION

Water Utility Account Number:

Home Phone Number

Mobile Phone Number

Residence Type

How did you find out about the Composting Rebate Program?

Type of Composting System

NEW EQUIPMENT INFORMATION

Include model number and if available serial number(s), copy of sales receipt, along with completed claim form (if required), within 30 days of Purchase.

Brand

Model Number

Product Name / Description

Date Purchased

Total Cost

Rebate Amount ($50 per unit, max 1 unit)

LOCATION OF PURCHASE

Dealer/Store/Website Name

Phone Number

Date

Address

City

State

Zip Code

URL

Upload Sales Receipt

Click Here to Upload

Upload Claim Form (if required)

Click Here to Upload

Upload photograph showing the composter being used

Click Here to Upload

CUSTOMER AGREEMENT

By signing this form, I certify that I have purchased a composting system for residential use at the address indicated above within the City of Tamarac. I understand that in order to receive this rebate, I must read and agree to the Terms and Conditions of this program. All statements made in this application are correct. I understand that the City of Tamarac reserves the right to inspect and verify any equipment before issuing rebates. I will provide a photograph showing the composter being used. I verify the information to be factual.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

FOR CITY OF TAMARAC USE ONLY

Rebate Application #:

Received by:

Approved by:

Applicant Notified by:

Forwarded to Financial Services & FPO:

Rebate Amount

City of TamaracCompost Program Rebate Application Form

All information must be completed to avoid claim denial or processing delays. One Rebate Per Household.

CUSTOMER INFORMATION

NEW EQUIPMENT INFORMATION

LOCATION OF PURCHASE

CUSTOMER AGREEMENT

City of Tamarac
Compost Program
Rebate Application Form

All information must be completed to avoid claim denial or processing delays.
One Rebate Per Household.