Monroe, LA · Ouachita Parish
Lifeline Utility Rate Application
The Lifeline Utility Rate Application is for Monroe City Limits water and sewer customers seeking a special rate based on age or permanent disability and household income.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
This application asks Monroe City Limits customers for account and personal information and states the eligibility criteria for the Lifeline Utility Rate, including age or permanent disability and income limits. The applicant must provide supporting documents listed on the form, sign the declaration, and have the application notarized. The form says applications cover one calendar year and must be renewed annually on January 1.
Who needs it
A Monroe City Limits water and sewer customer seeking the Lifeline Utility Rate who meets the form’s age or disability and income criteria should submit this application.
Why it needs a notary
The form includes a Notary Public signature block but does not identify a jurat or acknowledgment; the applicant signs the declaration before the notary.
How to get this notarized
- 1
Download The Application
Get the Lifeline Utility Rate Application from the City of Monroe.
- 2
Fill In The Application
Complete the account and personal information and gather the supporting documents listed on the form.
- 3
Book An Online Notary
Schedule a session with a commissioned online notary.
- 4
Sign On Video
Sign the declaration during the online notarization session.
- 5
Submit To The City
Submit the notarized application and required supporting documents to the City of Monroe.
Preview the form
The blank PDF straight from Monroe. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I apply for the Lifeline Utility Rate?
- Complete the application, attach the supporting documents it lists, sign the declaration before a notary, and submit it to the City of Monroe.
- Do I need to renew my application?
- Yes. The form says applications cover the calendar year and must be renewed on January 1; customers must re-apply each year.
- Can I sign the application with a commissioned online notary?
- Louisiana authorizes remote online notarization under the Louisiana Remote Online Notarization Act, La. R.S. 35:621 et seq. Confirm with the parish or municipality if unsure.
- What documents does the application require?
- The form lists copies of SSI, SSDA, or VA documents, financial documents for HUD eligibility, and a driver’s license or birth certificate.