San Bruno, CA · San Mateo County

No notary required

2026–27 Application for Discounted Rates Water & Sewer

San Bruno residential water and sewer customers use this application to request discounted rates by providing household details and income verification.

What this form is

This application lets San Bruno residential water and sewer customers request the city’s discounted-rate program for fiscal year 2026–27; current participants must reapply each fiscal year. It asks for customer and service details, household members and income, and a signed declaration. Applicants must attach one accepted 2025 income-verification document; applications and proof of income are due June 30, 2026, to avoid being dropped from the program.

Who needs it

San Bruno residential water and sewer customers seeking discounted rates, including current participants who must reapply each fiscal year, need this application.

How to submit it

Submit the completed application and income verification to the Finance Department, 567 El Camino Real, San Bruno, CA 94066, or fax them to (650) 876-0256.

About notarization

This application is signed and dated without a notary; it requires an income-verification attachment, but the document does not say that attachment must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the 2026–27 discounted water and sewer rates application.

  2. 2

    Complete The Application

    Provide customer, service, household, and income information, then sign and date the declaration.

  3. 3

    Gather Income Verification

    Attach one accepted 2025 income-verification document; remove Social Security and account numbers for privacy.

  4. 4

    Submit To The Finance Department

    Send the application and income verification to 567 El Camino Real, San Bruno, CA 94066, or fax them to (650) 876-0256.

Frequently asked questions

Do I need a notary for the discounted-rate application?
No. The application asks for a signature and date, not notarization. It requires income verification, but does not say the attachment must be notarized or sworn.
How do I submit the discounted-rate application?
Send the completed application and income verification to the Finance Department at 567 El Camino Real, San Bruno, CA 94066, or fax them to (650) 876-0256.
What income verification should I attach?
Attach the first two pages of a 2025 federal or state income tax return showing AGI, a 2025 Social Security or disability benefits statement, or 2025 proof of state or federal housing assistance. W-2 forms and salary check stubs are not accepted.
When are renewal applications due?
Renewal applications and proof of income must be submitted by June 30, 2026, to avoid being dropped from the program. Qualifying applicants do not receive reduced rates retroactively for processing delays or late submission.

Need something notarized?

This 2026–27 Application for Discounted Rates Water & Sewer doesn’t need a notary — but if you have another San Bruno form that does, a commissioned online notary can help.