Gloucester Township, MT · Camden County
Senior and Disabled Citizens Sewer Utility Discount Application
Gloucester Township Sewer Utility customers use this application to request a 25% quarterly sewer bill discount based on age or disability and income eligibility.
What this form is
This application requests a 25% discount on the quarterly sewer bill for eligible Gloucester Township Sewer Utility customers. It asks for household and account details, age or disability eligibility, and proof of income and supporting documents. The form states that applicants must meet the listed income and customer requirements, have resided at the property in 2023, and apply the discount to their primary residence only.
Who needs it
A current, non-delinquent Sewer Utility customer seeking the discount must meet the application’s age or disability and income requirements.
How to submit it
Send the completed application and requested documentation to the Gloucester Township Sewer Utility Department, P.O. Box 216, Glendora, NJ 08029. The form lists 856-227-8666 for questions and 856-227-5668 for fax.
About notarization
This application is signed without a notary; the applicants declare under penalty of perjury that the information is true, correct, and complete.
How to submit this form
- 1
Download The Application
Download the Senior and Disabled Citizens Sewer Utility Discount Application.
- 2
Complete The Application
Provide the sewer account and household details, select the applicable eligibility category, and sign and date the application.
- 3
Gather Supporting Documents
Include copies of the requested proof of age or disability and proof of income listed on the application.
- 4
Submit To The Sewer Utility Department
Mail the application and requested documents to P.O. Box 216, Glendora, NJ 08029.
Frequently asked questions
- Do I need a notary for the Senior and Disabled Citizens Sewer Utility Discount Application?
- No. The application has signature and date lines but no notary block. Applicants declare under penalty of perjury that their information is true, correct, and complete.
- Who may qualify for the sewer utility discount?
- The application lists customers who are 65 or older, permanently disabled, or 100 percent disabled veterans, subject to its income and customer requirements.
- What documents should I include?
- Include the requested proof of age or disability, as applicable, and copies of the listed proof of income: a PAAD card or Form SSA-1099, and a 2023 federal income tax return if filed.
- How do I submit the application?
- Mail the completed application and requested documentation to the Gloucester Township Sewer Utility Department, P.O. Box 216, Glendora, NJ 08029.
Need something notarized?
This Senior and Disabled Citizens Sewer Utility Discount Application doesn’t need a notary — but if you have another Gloucester Township form that does, a commissioned online notary can help.