Property Owner Information Name(s) 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 Pre-Approval Request Select all that apply Effluent Filter Installation Maximum Rebate $100 Distribution Box Installation or ReplacementMaximum Rebate $200 Riser InstallationMaximum Rebate $400 Repair or Replace and Aging SystemIf selected, cannot claim for distribution box, riser, effluent filter. Maximum Rebate $700AcknowledgementBy checking the Acknowledgement checkbox below, I acknowledge that:I have read the 2026 SepticSmart Rebate Information Sheet.Eligible work must be completed by an Authorized Person.I am not pre-approved until I receive my confirmation email.Pre-approval does not guarantee a claim will be approved or a rebate will be granted.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.
