Manteca, CA · San Joaquin County
Senior Discount Application
Residential utility customers use this application to request or renew participation in Manteca’s Senior Discount Program and provide household and income information.
What this form is
This application is for residential utility customers seeking to participate in or renew enrollment in Manteca’s Senior Discount Program. It asks for account and household details, household income, and a qualifying senior’s identification, and requires a signature and date. Applicants must provide income documentation and submit an application annually before July 15 to continue receiving discounts.
Who needs it
A residential utility account holder who is at least 60 years old and seeks to qualify for or renew the Senior Discount Program should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the signer also declares under penalty of perjury that the information is true and correct.
How to submit this form
- 1
Download The Application
Download the Senior Discount Application PDF.
- 2
Complete The Application
Fill in your utility account, contact, household, and income details.
- 3
Gather Supporting Documents
Attach income documentation for each household member who earns income and government-issued ID for the qualifying senior.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Who can use the Senior Discount Application?
- The form is for residential utility customers. The signer declares they are at least 60, are a utility account holder, and meet the program’s household and income requirements.
- What documents should I attach?
- The application requests a copy of the most recent federal income tax form and/or Social Security annual statement for each household member who earns income, plus government-issued ID for the qualifying senior.
- Do I need a notary for the Senior Discount Application?
- No. The application is signed and dated without a notary, but the signer declares under penalty of perjury that the information is true and correct.
- How do I submit the Senior Discount Application?
- Submit it to the city department named on the form; check the city website for current contact details.