Property Owner Information Name(s) Pre-approval # Phone Number(s) Email Address Email Address Confirmation Property Address Property Address Address City/Town ZIP/Postal Code Mailing Address (If different than above) Mailing Address Address City/Town ZIP/Postal Code Rebate Claim Select all that apply Effluent Filter Installation Maximum Rebate $100 Distribution Box Installation or ReplacementMaximum Rebate $200 Riser InstallationMaximum Rebate $400 Repair or Replace an Aging System If selected, cannot claim for distribution box, riser, effluent filter. Maximum Rebate $700Support Documents Support DocumentsPlease upload an invoice and proof of payment.Maximum 10 files.32 MB limit.Allowed types: jpg jpeg png pdf doc docx.AcknowledgementBy checking the Acknowledgement checkbox below, I acknowledge that:I have read the 2026 SepticSmart Rebate Information Sheet.Invoice must show work was completed by an Authorized Person.The Regional District of Nanaimo is not responsible for the performance or maintenance of my septic system. Acknowledgement Information collected on this form is done so under the general authority of the Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA. Questions about the collection of your personal information may be referred to the Legislative Services Department via email at foi@rdn.bc.ca. Signature Sign above CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
