Applications must include a copy of a proof of purchase receipt from a retailer or plumbing company that specifies the purchaser’s name, purchase date, purchase price, manufacturer and model number.
Please email a copy of your receipt to Simon.Christensen@Hillsboro-Oregon.gov.
If you are unable to email the receipt, you may send them by mail with a copy of this form.
After you submit this online form, you will receive a copy of the form via email.
Please print the email and send it, along with your proof of purchase, to:
150 East Main Street
Hillsboro, OR 97123