Patterson, CA · Stanislaus County

No notary required

Senior, Low-Income Program Application Form

Eligible Patterson utility customers use this application to request discounted water and garbage service through the Senior, Low-Income Program.

What this form is

This application requests enrollment in Patterson’s Senior, Low-Income Program, which provides a discounted rate for water and garbage utility services. Applicants must meet the listed age, T.I.D. CARES enrollment, account standing, and account-matching requirements, and must reapply annually. The form asks for contact, identification, and utility account information, a signature, and a current T.I.D. bill showing CARES enrollment.

Who needs it

Patterson utility customers who are at least 60, enrolled in T.I.D. CARES, and meet the city’s account requirements can apply.

How to submit it

Submit the application and current T.I.D. bill to the Finance Department at 1 Plaza Circle, Patterson, CA; the form also lists (209) 895-8040.

About notarization

This application is signed and dated without a notary; the form asks applicants to provide a current T.I.D. bill showing CARES enrollment.

How to submit this form

  1. 1

    Download The Application

    Download the Senior, Low-Income Program application form.

  2. 2

    Complete The Application

    Enter the requested contact, identification, and utility account information, then sign and date the form.

  3. 3

    Gather The T.I.D. Bill

    Include a current T.I.D. bill showing enrollment in the T.I.D. CARES Program.

  4. 4

    Submit To The Finance Department

    Submit the application and bill to the Finance Department at 1 Plaza Circle, Patterson, CA.

Frequently asked questions

Who can apply for Patterson’s Senior, Low-Income Program?
Applicants must be at least 60, enrolled in T.I.D. CARES, have a city utility account in good standing, and have matching names and addresses on both accounts.
What should I include with the application?
Provide a current T.I.D. bill showing enrollment in the T.I.D. CARES Program, complete the requested information, and sign and date the application.
Do I need a notary for the Senior, Low-Income Program application?
No. The application is signed and dated without a notary. It asks for a current T.I.D. bill showing CARES enrollment.
How do I submit the Senior, Low-Income Program application?
Submit the application and current T.I.D. bill to the Finance Department at 1 Plaza Circle, Patterson, CA. The form lists (209) 895-8040.

Need something notarized?

This Senior, Low-Income Program Application Form doesn’t need a notary — but if you have another Patterson form that does, a commissioned online notary can help.