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Residential Reimbursement and Credit Form

Applications must be submitted by June 15th. Inspections will occur on a rolling basis April 1st - June 30th. You will be contacted at least 48 hours in advance of the inspection. Please make sure that you have all reimbursement request materials before applying for reimbursement and credit. If you have any question or need assistance filling out this form, contact Julie Costantino at jcostantino@howardcountymd.gov 

Your project must have been pre approved for installation by Clean Water Howard.
Supporting Documentation
Complete this section before the rest of the application. If you encounter an error message while attempting to upload additional files, please refresh/reload your browser and try again. Whenever you refresh/reload a page, your data will be lost.
Files must be less than 100 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf pdf doc docx ppt pptx xls xlsx.
Files must be less than 100 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf pdf doc docx ppt pptx xls xlsx.
Files must be less than 100 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf pdf doc docx ppt pptx xls xlsx.
Upload all receipts for services and materials showing amount paid for the project. Please combine receipts onto a single page if possible.
Files must be less than 100 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf pdf doc docx ppt pptx xls xlsx.
Applicant Information
Mailing Address
Property Information
Property Address
Application Details
List costs separately for each project type
Please select all BMP's that were installed.
As of 9/1/2018 all applicants will be assessed for credit towards the Watershed Protection Fee. If your application if approved, you will receive details about your credit in the Award Letter. You may not apply for reimbursement without a receipt or invoice.
When did you build/install this practice?
Acknowledgement and Disclaimer