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Fix a Leak Kit - Order Form

  1. ACWD provides complimentary toilet leak detection dye tablets and toilet flappers

    Provide information requested to receive FREE toilet leak detection dye tablets, a toilet flapper and information about how to read your water meter and finding and fixing leaks around the house.

  2. Please provide complete contact information.

    Kits will be delivered within 10 business days. You can also pick up these items at the ACWD headquarters at 43885 S. Grimmer Blvd. in Fremont. Please call ACWD's Water Conservation Team at (510) 668-4218, if you have questions.

  3. Enter the email address you would like us to reply to.

  4. Mailing address

  5. City*

    You must be a resident of one of these communities to receive these items.

  6. I live in a Homeowners Association*

  7. If you live in a Homeowners Association Community, please provide the name of the HOA above.

  8. Have you replaced your toilets within the last 25 years?*

  9. Leave This Blank:

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