Septic System Reimbursement Request Form

Fill out this form to receive reimbursement for septic inspection, pumping, and/or repair through Poop Smart Clark!


First, confirm your eligibility and register for the program through our sign-up form. Eligibility is limited to certain areas of Clark County, which you can see on this map.

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Septic Inspection, Pumping, and Minor Repair - we offer reimbursement up to $130 for septic inspections and up to $1000 for pumping and/or minor repair.


For larger repairs or septic replacements, please contact us to learn more about funding options.


If paying out of pocket for maintenance is a barrier, we offer payments directly to your contractor instead of reimbursing you. However, not all contractors accept direct payments. Check with your contractor and let us know ASAP if you would like to use this option. You must submit this form within 7 days of the invoice date to be approved for direct payment.


Questions? Email poopsmart@clarkcd.org or call (360) 859-4848.


Alternate languages:

Formulario de solicitud de reembolso de sistema séptico


Форма запроса на возмещение расходов на септическую систему

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Please submit your receipts, invoice, and other information below.


Process - Septic Inspection, Pumping, and Minor Repair:

  • If you signed up with us, you have heard from Poop Smart Clark with your eligibility and detailed instructions.
  • You have 30 days from eligibility notice to submit this form for reimbursement. After 30 days, funds will be released from hold. If you need an extension, please contact poopsmart@clarkcd.org.
  • Submit this form, and receive a check in the mail within 30 days.
  • If you have not filled out the sign-up form, you may still apply here for reimbursement for inspection and/or maintenance. However, availability of funds is not guaranteed.
  • You must still meet Poop Smart Clark eligibility criteria and have contracted with a Clark County certified business.


Process - Septic Repair/Replacement Funding up to $20,000

  • If you are interested in this program, please apply through our sign up form and wait to hear from us. If selected for funding, you will be reimbursed through a separate system.

You are welcome to do so; contact us if you have questions.

Phone number and/or email address.

Contact Information

Use this section for the homeowner/renter's contact information.

This should match the name on your invoice

This should match the name on your invoice

Preferred Contact Method*

We will only contact you about the septic reimbursement program.

Provide the address of the location where septic services were completed.

Street address, city, state, and ZIP code

Please list the business that conducted the septic service.

Please provide a brief description of septic services you're requesting a reimbursement for.

We can reimburse up to $130 for inspections and $1,000 for pumping and repairs.

Eligible repairs must adhere to the guidelines in section 6 of the Terms and Conditions.

Direct Payment to Contractor Option:

If paying out of pocket for maintenance is a barrier, we can pay your contractor directly for eligible costs instead of reimbursing you. Check the box below if you would like to pursue this option.

Important note: you must get approval from your contractor to use this option. You must submit this form within 7 days of the invoice date. Requests for direct payment submitted more than 7 days from the invoice date will be denied.

Please provide:

  • Required: A detailed copy of the receipt(s) for services rendered, including proof of payment (paid invoice, for example).
  • Your inspection report, if available.

If you cannot provide electronic copies, please contact us to submit hard copies.

Drag and drop files here or

Anything else we should know?

Terms Agreement*

By signing up for these grant-provided funds for the Poop Smart Clark Septic System Reimbursement Program, the “Participant” agrees to the following terms and conditions. Please review them here (link).

Funding Acknowledgement

We can’t doo this alone - grants from the following make this program possible: Washington Department of Ecology, Natural Resources Conservation Service, Washington State Conservation Commission, and the Lower Columbia Fish Recovery Board.

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