Skip to main content

For your information:

After you apply, end your session to protect your data. Your session will automatically expire after 10 hours from the beginning of your session, so please log in or submit your application before that time to avoid losing your progress.

Free Toilets for Low-Income Homeowners

This program provides low income renters and homeowners with water saving toilets.

6 of 7 Tell Us About Your Background

What is your race?

Check all that apply

Are you of Hispanic, Latina/Latino/Latinx or Spanish origin?

Please select one box

We will send materials in the selected language whenever possible.

Some answers on this page need to be fixed

This page of your application either has some errors or some fields were left blank. If you continue to the previous page, none of the information entered on this page will be saved until the errors are corrected.