Toilet Replacement Program Application

You will need to include a scanned receipt of your toilet purchase in this application.

If you cannot scan your receipt, please print and fill this form.


Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.


I declare that I have removed a 13L or 20L existing toilet and have installed an eligible 6L, 4.5L or 3L/6L dual flush toilet. I have read and understand the parameters of the program and understand that the Town of Olds is not responsible for the installation or functioning of the toilets.

Privacy Statement

The personal information on this form is collected under the Freedom of Information and Protection of Privacy Act and will be used in order to process this form. See the Town of Olds Privacy Policy for more information.