Atwater, CA · Merced County

No notary required

Low Income Payment Plan Application

Atwater customers seeking a monthly payment plan for parking citations use this application to request enrollment based on qualifying public benefits or low income.

What this form is

This application lets eligible customers request a monthly payment plan for parking citations. Applicants must apply within the time limits described in the program terms and conditions and qualify as low income or receive qualifying public benefits. The form asks for contact, driver license, vehicle, citation, and household information, along with a preferred payment day and the applicant’s signature. Applicants must also provide acceptable proof of income or benefits.

Who needs it

The registered owner or lessee seeking a payment plan for Atwater parking citations who qualifies as low income or receives qualifying public benefits needs this application.

How to submit it

Mail the completed application and all supporting documents to the City of Atwater Enforcement Processing Center, P.O. Box 3214, Milwaukee.

About notarization

This document is signed and dated without a notary; applicants must include acceptable proof of low income or public benefits, but no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Application

    Download the Low Income Payment Plan Application.

  2. 2

    Complete Parts One And Three

    Fill in your contact, license, vehicle, citation, and household details, then sign and date Part Three. City staff complete Part Two.

  3. 3

    Gather Proof

    Include acceptable documentation showing that you qualify as low income or receive qualifying public benefits.

  4. 4

    Mail The Application

    Mail the completed application and supporting documents to the City of Atwater Enforcement Processing Center, P.O. Box 3214, Milwaukee.

Frequently asked questions

Do I need a notary for the Low Income Payment Plan Application?
No. Sign and date the application; include acceptable proof of low income or qualifying public benefits. The form does not specify a notarized attachment.
How do I submit the Low Income Payment Plan Application?
Mail the completed application and all supporting documents to the City of Atwater Enforcement Processing Center, P.O. Box 3214, Milwaukee.
What proof must I include with my application?
Include acceptable documentation showing that you receive qualifying public benefits or qualify as low income. The form gives examples such as a benefits card, recent pay stub, or financial statement.
Who can apply for a parking citation payment plan?
Only the registered owner or lessee may enroll. The applicant must qualify as low income or receive qualifying public benefits and meet the application timing requirements in the program terms.

Need something notarized?

This Low Income Payment Plan Application doesn’t need a notary — but if you have another Atwater form that does, a commissioned online notary can help.