Island Lake, IL · Lake County
Senior Discount Application Form
Island Lake residents age 65 or older can use this application to request a senior discount for garbage and recycling service at their single-family residence.
What this form is
This application lets an Island Lake resident request a senior citizen discount for the garbage and recycling bill at a single-family residence. The signer certifies they are at least 65 and occupy the address for which the discount is requested. The form has spaces for the date, residence address, and signature, plus office-use fields for proof of age and occupancy and a witness.
Who needs it
A resident age 65 or older who occupies the single-family residence for which they are requesting a garbage and recycling bill discount 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; it lists proof of age and occupancy for office use, but no sworn or notarized attachment.
How to submit this form
- 1
Download the Application
Download the Senior Discount Application Form PDF.
- 2
Complete the Application
Enter the date and residence address, then sign to certify that you are at least 65 and occupy the residence.
- 3
Gather Proof
The form lists proof of age and occupancy for office use.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who can apply for the senior discount?
- The signer must be at least 65 years old and occupy the single-family residence for which the discount is requested.
- What information does the application ask for?
- It asks for the date, residence address, and applicant's signature. Office-use fields list proof of age, proof of occupancy, and a witness.
- Do I need a notary for the Senior Discount Application Form?
- No. The application is signed and dated without a notary; it lists proof of age and occupancy for office use, but no sworn or notarized attachment.
- How do I submit the Senior Discount Application Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Senior Discount Application Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.