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Standalone Irrigation Meter (SIM) Program Enrollment Form

  1. TownofSahuarita.png
  2. SIM Version 5 10-1-18 v2_Page_1
  3. SIM Version 5 10-1-18 v2_Page_2
  4. Complete and submit this enrollment form
    Fill in the following information and submit the form to enroll in the SIM Program. Also, you need to provide the Wastewater Department with an initial meter reading.
  5. Wastewater Account
  6. Provide the make and model of your irrigation meter or controller.
  7. Upload an image of your initial meter reading. The image may be a picture of the meter and/or a screen shot of any digital reading, as applicable. Contact customer support if you need assistance.
  8. Terms and Conditions
    I hereby certify and agree as follows:
  9. I am the account holder of the above Sahuarita Wastewater account, and I hereby apply to enroll in the Standalone Irrigation Meter (SIM) Program. I have read, understand, and agree to comply with the SIM Program Rules. I understand that my account will be assessed an additional fee for participation in this program. I agree that any Irrigation Meter Readings that I submit shall be accurate and true, and I understand that filing false data is a felony, and is subject to penalties under Arizona law, including imprisonment. I understand that I may cancel my participation in this program at any time by providing written notice to the Sahuarita Wastewater utility, and if I do so, I will not be allowed to participate in the program again for a minimum of one year after cancellation. I understand that the Sahuarita Wastewater Utility may modify, suspend, or cancel, the SIM Program at any time, either for my account, some accounts, or all accounts.
  10. Type first and last name to accept the terms and conditions.
  11. Date of form submittal
  12. Leave This Blank:

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