Boerne, TX · Kendall County
Disabled Citizen Benefit Program Application
Boerne utility customers who meet the program requirements use this application to request additional time to pay their utility bill.
What this form is
The application requests additional time to pay the net amount of a utility bill under Boerne’s Disabled Citizen Benefit Program. It applies only to a customer’s principal residence, and the city requires annual recertification. Applicants provide account and contact information, certify that it is accurate, sign and date the form, and include a copy of a Social Security Administration Notification of Award Letter.
Who needs it
A disabled customer named on a Boerne utility account who receives Supplemental Security Income from the Social Security Administration may apply.
How to submit it
Return the completed application with a copy of the Social Security Administration Notification of Award Letter to City of Boerne Customer Service. You may fax it to 830-249-2580 or call 830-249-9511 to request an application.
About notarization
This application is signed and dated without a notary; include a copy of the Social Security Administration Notification of Award Letter.
How to submit this form
- 1
Download The Application
Download the Disabled Citizen Benefit Program Application.
- 2
Complete The Application
Enter the requested customer, utility account, address, and contact information, then certify that the information is accurate.
- 3
Gather The Supporting Document
Include a copy of the Social Security Administration Notification of Award Letter.
- 4
Submit To The City
Return the application and copy to City of Boerne Customer Service, or fax it to 830-249-2580.
Frequently asked questions
- Who can apply for Boerne’s Disabled Citizen Benefit Program?
- The applicant must be disabled, named on the Boerne utility account, and receive Supplemental Security Income from the Social Security Administration. The program applies only to the customer’s principal residence.
- What do I need to include with the application?
- Include a copy of the Social Security Administration Notification of Award Letter. Complete the requested customer and account information, then sign and date the application.
- Do I need a notary for the Disabled Citizen Benefit Program Application?
- No. The application is signed and dated without a notary. Include a copy of the Social Security Administration Notification of Award Letter.
- How do I submit the Disabled Citizen Benefit Program Application?
- Return it with a copy of the award letter to City of Boerne Customer Service, or fax it to 830-249-2580. Call 830-249-9511 to request an application.
Need something notarized?
This Disabled Citizen Benefit Program Application doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.