Gardena, CA · Los Angeles County
Sewer Lifeline Rebate Program Application
Gardena residents use this application to request a rebate on the monthly fixed sewer charge and document eligibility for the Sewer Lifeline Rebate Program.
What this form is
This application requests a 50% rebate on the monthly fixed sewer charge for qualifying single-family residential units. Applicants provide contact, service address, and water account information, select a qualifying option, and include supporting documents such as a water bill and, depending on eligibility, identification, veteran records, or utility documentation.
Who needs it
A Gardena resident who heads a household in a single-family residential unit and meets one of the program’s stated eligibility options can apply.
How to submit it
Complete the application and return it with the requested documents to the City of Gardena Revenue and Collections Office, Room 104, 1700 West 162nd Street, Gardena, CA 90247.
About notarization
This document is signed and dated without a notary; applicants include requested supporting documents, but the form does not require a notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Sewer Lifeline Rebate Program Application and instructions.
- 2
Complete The Form
Enter your applicant, service address, telephone, and water account information, then select the eligibility option that applies.
- 3
Gather Supporting Documents
Include a recent water bill and the other supporting documents requested for your selected eligibility option.
- 4
Submit To The City
Return the application and requested documents to the Revenue and Collections Office at the address printed on the form.
Frequently asked questions
- Who can apply for Gardena’s Sewer Lifeline Rebate?
- The application describes eligibility for a single-family residential unit when the head of household is at least 60, a veteran, or qualifies under CARE program criteria.
- What documents should I include with the application?
- Include a recent water bill or, if water service is paid through a mobile home park, a copy of that bill. Depending on your selected eligibility option, include identification, DD Form 214/215, a utility bill, or other requested documentation.
- Do I need a notary for the Sewer Lifeline Rebate Program Application?
- No. The application is signed and dated without a notary. It requests supporting documents for eligibility, but does not specify any notarized or sworn attachment.
- How do I submit the Sewer Lifeline Rebate Program Application?
- Return the completed application and requested documents to the City of Gardena Revenue and Collections Office, Room 104, 1700 West 162nd Street, Gardena, CA 90247.
Need something notarized?
This Sewer Lifeline Rebate Program Application doesn’t need a notary — but if you have another Gardena form that does, a commissioned online notary can help.