Note: This discount for water, sewer, and garbage will be given on the next billing following receipt of the application. The discount will not apply to any billing prior to the date the application is received by the City. Please attach a copy of "proof of age" by submitting a valid United States driver's license, identification card, passport, or Mexico Matricula Consular.
My name is ____________________________________________. I am 65 years of age and the address above is my residence. I understand that the discount is only for senior citizen residents over 65 years of age, with singlefamily water, sewer, and garbage services in their name, whether owner or non-owner.
This field is not part of the form submission.
* indicates a required field