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The Low Income Senior & Disabled Utility Discount Application can be completed online or downloaded by clicking on the icon that will be found in the upper left corner of the next page
and can be returned to our office with the necessary supporting documents detailed on the application.
To continue, click NEXT
Signature HereClick to Sign
11/27/2021Click to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.


Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

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Additional Signatures Required

Total household annual income verification (tax statements, 1099s & w-2s) Click Here to Upload
Proof of occupancy (rental agreement, property tax statement or current PUD statement) Click Here to Upload
Proof of age (driver's license, government issued ID card, passport or other acceptable document from list) Click Here to Upload
Disability information (parking privilege ID card) Needed only if applying as a disabled person Click Here to Upload