Water Wise Survey Request Form | Santa Clara Valley Water

This is a survey form for Irrigation surveys ONLY. If you are looking for a landscape rebate survey, please start your your application here. If you're not sure where to start on a potential landscape rebate project, please continue completing the form below.

Which of the following does your irrigation system include?

Automatic Response

Thank you for your interest in a Water Wise Outdoor Survey. At this time a working irrigation system is required to participate. If you would like a DIY Indoor Survey Kit, please change the "Services Requested" above to “DIY Water Wise Indoor Survey Kit". Additional resources to help you save water in your landscaping can be found at www.watersavings.org. Please contact us with any quesitons at (408) 630-2000 or [email protected]

Water Company

Find my water retailer

San Jose Water Company Disclaimer
San Jose Water Company customers should call (408) 279-7900, email [email protected], or go to www.sjwater.com/catch instead of completing this form.

Water Account Number or Well ID (Required to determine eligibility):

Please send a copy of your most recent water bill to [email protected] and Include the pages that show your latest meter reading and the water consumption graph

Name (Primary Account Holder, if available)

Address

City

State: CA

ZIP code

Phone

E-mail

Days

General Time

How do you prefer to be contacted?

Phone Call

Either

What is the make and model of your irrigation controller/sprinkler timer?

Irrigation Controller Photo

Photos showing the irrigation controller make or model can help us prepare for your survey.
If you have trouble uploading your controller photo, please send it as an attachment to [email protected]

Maximum 2 files.
14 MB limit.
Allowed types: gif, jpg, png, jpeg.
14 MB limit per form.

Is your irrigation controller inside or outside?

Is your irrigation controlled via wi-fi or your cell phone?

Yes

Not sure

If yes, we'll need your mobile device or another method to access and test the controller.

Number of irrigation valves or irrigation stations onsite It is not required, but it will help us navigate your landscape more efficiently during the survey.

Approximate square footage of irrigated landscape

Number of occupants

Number of bathrooms

Year house was built

Are you interested in participating in our Landscape Rebate Program?

Yes

Not sure

Click here for Landscape Rebate Program information

Have you previously had a Water Wise Outdoor Survey within the last 3 years?

Yes

Not sure

If yes, we will happily provide you with your past survey results and additional resources. However, surveys are only available if it has been 3 years or more since your last survey.

After submitting this request, fill out and submit the Hold Harmless Agreement.This link will appear again on the Confirmation Page after hitting submit.

All customers must fill out and submit a Hold Harmless Agreement to receive a free Water Wise Outdoor Survey. The Hold Harmless Agreement allows our trained irrigation professional to enter your property to conduct the survey. Please submit this request separately from the Hold Harmless Agreement. If you leave this page before hitting “Submit”, your data may be lost.

By checking the following boxes, I certify that the information I have provided is true and correct.

I have submitted a photo of the controller and water bill.

I have signed the Hold Harmless Agreement.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Quick Tips

A water bill is helpful for us to understand your water usage based on your consumption history, and enables us to include a summary of your water use in the survey's results. The latest water meter reading and your water usage graph will be most helpful to us prior to the survey.

For any questions, please email [email protected] or call (408) 630-2000.

Disclaimer: Please do not upload personal or sensitive materials through this form. We may ask for additional materials while processing your request.