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Water Conservation Order Form

  1. The Department of Water and Wastewater Resources offers FREE water-saving devices for residents.

    Complete the form below or call (650) 991-8200 to order yours today. 
    All items will be delivered to your Daly City address.

  2. First Name

  3. Last Name

  4. Street Address

  5. Phone Number

  6. Email Address

  7. Please indicate which conservation products you are requesting by checking the appropriate box(es) below:
  8. Indoor Devices
  9. Outdoor Devices
  10. If you are requesting more than 1 of a specific item, please make that notation here.

  11. Ex: ring doorbell, leave at gate, leave on porch, or leave by mailbox, etc.

  12. Leave This Blank:

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