Freeport, TX · Brazoria County
Senior Citizen Discount Application Form
Freeport utility customers age 65 or older use this application to request enrollment in the City’s Senior Citizen Discount Program.
What this form is
This application requests enrollment in the City of Freeport Utilities Senior Citizen Discount Program. Applicants must be at least 65, and the utility account must be in their name at the listed service address. The form asks for account and contact details, date of birth, a signature, and proof of age, such as a government-issued ID.
Who needs it
A utility account holder age 65 or older who wants to request the City of Freeport Utilities Senior Citizen 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 requires proof of age, such as a government-issued ID, which office staff scan and save to the customer’s account.
How to submit this form
- 1
Download The Application
Download the Senior Citizen Discount Application Form.
- 2
Complete The Form
Enter the account number, service address, customer name, date of birth, phone number, and date; then sign the request.
- 3
Gather Proof Of Age
Provide proof of age, such as a government-issued ID.
- 4
Submit To The City
Submit the application 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 citizen discount?
- Applicants must be at least 65 years old, and the utility account must be in the applicant’s name for the service address listed on the form.
- What proof of age does the application require?
- The form requires proof of age, such as a government-issued ID. The office-use section says to scan a copy of the ID and save it to the customer’s account.
- Do I need a notary for the Senior Citizen Discount Application?
- No. The application has a customer signature and date line but no notary block; it asks for proof of age, such as a government-issued ID.
- How do I submit the Senior Citizen Discount Application?
- The form does not list submission instructions. Submit it to the city department named on the form and check the city website for current contact details.