Marysville, WA · Snohomish County
Special Utility Rate and Utility Tax Rebate Application for Low-Income Senior and Disabled Citizens
Marysville residents who meet the stated income and eligibility requirements use this application to request a utility rate reduction and, when eligible, a utility tax rebate.
What this form is
The application is for low-income senior or disabled residents seeking a utility rate reduction and, if eligible, a utility tax rebate. Applicants certify their household and eligibility details and provide income, age, or disability documentation as applicable. The form explains requirements for direct and indirect billing, including that utility rate reductions apply after the city reviews and approves a completed application.
Who needs it
Low-income Marysville residents who are household heads and meet the program’s age or disability and income requirements should complete this application.
How to submit it
Submit the completed application and documentation to the Utility Billing Department at 501 Delta Ave., Marysville, WA 98270. The form also lists fax 360-651-5175 and [email protected].
About notarization
This application is signed without a notary; the applicant signs and dates a certification declaring the information true and correct under penalty of perjury.
How to submit this form
- 1
Download The Application
Download the Marysville utility rate discount and tax rebate application PDF.
- 2
Complete The Application
Fill in applicant and household details, select the applicable eligibility category, and sign and date the certification.
- 3
Gather Supporting Documents
Attach applicable income, age, and disability verification. The city cannot make copies.
- 4
Submit To Utility Billing
Send the application and documentation to the Utility Billing Department by the listed address, fax, or email.
Frequently asked questions
- Do I need a notary for the utility discount application?
- No. The applicant signs and dates the application’s certification declaring the information true and correct under penalty of perjury; the form does not require notarization.
- How do I submit the application?
- Send the completed application and supporting documentation to Marysville Utility Billing at 501 Delta Ave., Marysville, WA 98270. The form also lists fax and email submission options.
- What documents should I include?
- As applicable, include income verification for all household members age 18 or older, age verification, and disability verification for applicants under 62. The city says it cannot make copies.
- Who may apply for the utility discount?
- The application is for eligible low-income senior citizens age 62 or older and low-income disabled citizens. The claimant must be the head of household and meet the stated requirements.