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Repair must be submitted within 90 days after the date of the repair for eligibility.
Proof of repair examples: Licensed plumber itemized invoice, itemized receipt of repair parts.
As the customer for the above noted property, I attest that all information provided is true and accurate.
If meter pictures are not provided, enter number of gallons used for repair and refill of your swimming pool.
This field is not part of the form submission.
* indicates a required field