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Please provide an email address to expedite and facilitate your refund in case we have any questions.

Please enter the complete address of the property for which you seek a refund. One address per submission. Please submit additional and separate forms for each property. Note: If the property does not have an assigned address, please provide a description of its location (street and nearest cross street).

Please provide a phone number to expedite and facilitate your refund in case we have any questions.

Please enter the mailing address at which you would like to receive your refund check.

Please select the Fiscal Year(s) for which you wish to submit a refund claim due to changes in the way the Water Availability Standby Charges were calculated. Note: You will need to provide proof you were the property owner and/or the person who paid the property tax bill for the property and year(s) selected.

Please upload proof of identity by providing one of the following legal documents: A valid Driver's License, California ID Card, or Passport.

Upload proof of ownership and/or payment for Fiscal Years 2016/17, 2017/18 and 2018/19. Proof of payment may include the front and back copy of the cashed check, impound account statement showing the payment made, credit card statement, homeowners insurance certificate, property tax bill, or any other suitable proof showing the recipient of the refund was the owner of the property and/or made the payment for each Fiscal Year selected. You may upload multiple files per submission.

Please select the date of this request.

Please type your full name as signature and acceptance of all applicable terms to this refund claim.