Mayor's Office for Senior Citizens

Utility Discount Program Applications

Shut-off notices and one-time payment assistance for past-due bills Fifty percent discounts on electricity and water, sewer and garbage rates Eligibility Requirements Applications Cable TV discount for seniors and adults with disablities Other utility assistance programs

If you are age 65 or older and meet the income guidelines
for the Utility Discount Program for Seniors,
print and complete this form.

If you are an adult with a disability and meet eligibility requirements and income guidelines for the
Utility Discount Program for Adults with Disabilities,
print and complete this form.

If you are under age 65 and meet the eligibility requirements and income guidelines for the
Utility Discount Program for Low-Income Households,
please read the application instructions and print and complete this form.

Information

If you are unable to print an application and would like one mailed to you, or would like more information about the Energy and Utility Assistance Programs, call 206-684-0268 (TTY/TDD 206-233-2778) or e-mail seniors@seattle.gov.