Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Water Conservation Kit - Order Form

  1. ACWD provides one complimentary water conservation kit per eligible customer account.
    Please Note: Newer and remodeled homes may not qualify. Each kit contains one low flow showerhead, faucet aerators for the bath and kitchen, toilet leak detection tablets, and a toilet flapper valve, all packed into a flow meter bag.
  2. Please provide complete contact information.
    Kits will be delivered within 10 business days. You can also pick up your kit at the ACWD headquarters at 43885 S. Grimmer Blvd. in Fremont. Please call ACWD's Water Conservation Team at (510) 668-4218, if you have questions.
  3. Enter the email address you would like us to reply to.
  4. Mailing Address:
  5. City*
    You must be a resident of one of these communities to receive a water conservation kit.
  6. I live in a Homeowners Association*
  7. If you live in a Homeowners Association Community, please provide the name of the HOA above.
  8. Information about fixtures in your home*
    Check all that apply.
  9. Leave This Blank:

  10. This field is not part of the form submission.