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. 

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

For a printable application, click here.