Application for Lead Service Line Replacement Grant & Loan Program

Please complete the form below for the Lead Service Line Replacement Grant and Loan program. Once the form is submitted, you will get a link emailed to you to verify your email. The form is not complete until your email is verified. 

The form will be automatically submitted to the Utility for approval, and then the selected contractor.

Please allow 48 business hours to be notified of approval. If you have any questions, please reach out at LeadProgram@SheboyganWater.org. 

For Mobile Users, fill form here

To Print the Form, click here