Cle Elum, WA · Kittitas County
Low Income Senior Citizen Claim for Reduced Water Rates
This annual claim requests reduced water rates for eligible senior residents and is filed with the City of Cle Elum before receiving the reduced rates.
- 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
The form asks the claimant to attest to age, homeownership, residence, and combined disposable income to request reduced water rates. Cle Elum requires the claim annually and says it must be filed before reduced rates begin; applicants must also provide their most recent federal income tax return and a copy of a Washington driver’s license or ID card.
Who needs it
A senior homeowner seeking reduced water rates in Cle Elum must file this annual claim and provide the listed income and age-verification documents.
How to get this notarized
- 1
Download the Claim
Get the City of Cle Elum low-income senior citizen claim for reduced water rates.
- 2
Complete the Form
Enter claimant, residence, and income information and gather the required tax return and ID copies.
- 3
Book an Online Notary
Arrange a remote session with a commissioned online notary before signing the affidavit.
- 4
- 5
Submit to the City
File the completed annual claim and supporting documents with the City of Cle Elum before receiving reduced rates.
Preview the form
The blank PDF straight from Cle Elum. 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 complete the senior water rate claim?
- Complete the claim, gather your most recent federal income tax return and Washington driver’s license or ID copy, then sign the affidavit before a commissioned online notary and file it with the City.
- Do I need to sign the claim in front of a notary?
- Yes. The form includes a statement that it was subscribed and sworn to before a notary, so sign the affidavit during the notarial session.
- Can I notarize this form online?
- Washington authorizes remote online notarization by its notaries under RCW 42.45.280. A commissioned online notary can notarize the claimant’s signature during a live video session.
- When should I file the claim?
- The form says the claim must be made annually and filed before you receive reduced water rates. Contact the City of Cle Elum about where and how to submit it; confirm with the city if unsure.