SepticSmart Rebate Claim Form

SepticSmart Rebate Claim Form

Property Owner Information

Property Address

Property Address

Mailing Address (If different than above)

Mailing Address

Rebate Claim

Select all that apply
Maximum Rebate $100
Maximum Rebate $200
Maximum Rebate $400
If selected, cannot claim for distribution box, riser, effluent filter. Maximum Rebate $700

Support Documents

Please upload an invoice and proof of payment.
Maximum 10 files.
100 MB limit.
Allowed types: jpg, png, pdf, doc, docx.


By checking the Acknowledgement checkbox below, I acknowledge that:

  • I have read the 2024 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.
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