Indoor water audit and retrofit kit request form

Fill out the form below to request an Indoor water audit and retrofit kit. Please note that kits are limited to one per household. Only residential customers of Southern Nevada Water Authority member agencies are eligible. Kits are not mailed out of state.

First name

Last name

Address 1

Address 2 (Optional)

City

State/province

Choose one Outside US / Canada Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Is Northwest Territories Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Postal code

Phone

Email

Confirm email

Comments/questions (Optional)

Please verify: