Designation LetterCOACHELLA VALLEY WATER DISTRICT
HOA AND COMMERCIAL TURF CONVERSION REBATE PROGRAM APPLICATION
PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024
Page 5 of 5
Revised 9/01/2023
File: 0585.09.1
This page is not required. It is ONLY used if the property owner is designating another individual to represent their
interests and act on their behalf for this rebate.
DESIGNATION LETTER
Date: _________________
Account/Property Owner Name: _____________________________________________
Service Address: _____________________________________________
CVWD Account Number: _____________________________________________
Account/Property Owner Phone Number: _____________________________________________
TO: CVWD
I, _____________________________, hereby authorize _______________________________to represent
Customer Name Contractor’s Name
my interests in the located at the address above for purposes of the HOA and Commercial Landscape Rebate
Program. Please consider this written authorization to represent our permission for said contractor to provide
landscape property design and/or apply to participate in the HOA and Commercial Landscape Rebate Program. All
work completed by or on behalf of a residential property owner shall be completed in conformance with all laws,
rules, and regulations of all governing bodies and agencies having jurisdiction over the work, including but not
limited to Federal, State, County, Local, HOA, and CVWD rules and regulations.
Applicant or designated representative has read and agrees to the terms and conditions as indicated by initialing the
agreement. Incomplete applications will not be accepted by the Coachella Valley Water District.
Contractor Name: __________________________________________________________________________
Lead Contact Name: _________________________________________________________________________
Address: _____________________________________________ City: _______________________________
Email Address: ________________________________________
_____________________________________________ Date: _________________
Property Owner/Customer’s Signature