Skip to Main Content
Loading
Loading
Search
About Us
Your Water
Customer Service
Community
How Do I...
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
Contact/Feedback
Employment
Engineering, Operations & Maintenance
Rates & Assistance
Water Conservation
Workshops and Education
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Water Budget Variance Application
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Monte Vista Water District customers are allocated a water budget based on their estimated indoor and outdoor water needs. By staying within budget, customers pay a lower rate. Variances are available to help single-family residential customers and dedicated irrigation metered customers who exceed their budget for one of the reasons listed below. To request an adjustment to your water budget, please submit this completed online form along with requested supporting documentation.
Account Number
*
Service Address
*
******* CHOOSE THE APPROPRIATE VARIANCE CATEGORY FROM THE LIST BELOW ****************
Once a category is selected, you will be prompted for more information based on the category chosen. Applications must be complete with all information and applicable supporting documentation uploaded in order to be processed and approved.
Permanent Variance
Irrigated landscape is greater than the District's estimate
Actual Landscape Area (sq.ft.)
Landscape Photo and/or Sketch
*
Provide photos and/or a sketch of the landscape area (see example on bottom of form).
Additional Photo of Landscape
Additional Photo of Landscape
Additional Photo of Landscape
1-Year Variance
More than four (4) full-time residents living in the home
Child, Adult, or Elder Care Facility
Personal Medical Needs
Livestock or Large Animals Over 100 Pounds
Total Number of Residents
Names, Ages and Relationships
Please list the names, ages and relationships for all full-time, year-round household residents. The District reserves the right to require documentation or other verification for a full-time resident.
Type of Care Provided
-- Select One --
24-Hour Care
Day Care
Total Persons Currently Cared for
Copy of Valid License
*
Please submit a copy of a valid license issued by California Department of Social Services.
Medical Needs/Device Documentation
*
Please submit documentation (such as a letter from health care provider, medical device receipt, etc.).
Medical Device
# of Dishwasher Loads
# of Laundry Loads
# of Toilet Flushes
# of Baths
# of Showers
Type(s) of Animal(s)
# of Animal(s)
Estimated Daily Water Use (in gallons)
Temporary Variances
Establish New Landscaping
Leak Repaired
Pool Fill
Other
Date Installed
Plant Type
Measurement of Area (sq.ft.)
Visual of New Landscape
*
Provide photos and/or a sketch of the landscape area (see example on bottom of form).
Additional Photo of Landscape
Additional Photo of Landscape
Proof of Repair
*
Submit proof of repair such as before/after photos or receipt from plumber.
Date of Repair
Fill Date
Pool Length (ft.)
Pool Width (ft.)
Pool Depth (ft.)
Gallons
Pool Photo
If application is for first fill of newly built pool (including above ground pools), please submit a photo.
Other
There may be other instances where an increased allocation on a temporary basis may be appropriate. If you believe that is the case, please explain in detail and provide any supporting documentation in the file upload below.
Other - Supporting Documentation
I affirm, under penalty of perjury, that I am the above account holder and the information contained herein, including supporting documentation, is complete and accurate. I further understand that all applications are subject to review and I may be liable for back charges if I provide incorrect information.
Name
*
Email
*
Electronic Signature
*
Phone
*
Please allow 30 days to process your request. Once approved, an adjustment will be applied to future billing(s) and are not retroactive. Incomplete applications, including applications without supporting documentation, will be returned without review.
Landscape Drawing Example
This example illustrates the key information that must be included in your drawing when requesting a temporary or permanent landscape variance. Photos of the landscaped area are welcomed and may be requested.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Report Website Problems
Pay My Bill
Applications
Report a Problem
Rebates & Programs
Board Agendas
Development
Government Websites by
CivicPlus®
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow