Kettle Falls, WA · Stevens County

No notary required

Low-Income Utility Rate Reduction Application

Kettle Falls residents who are low-income seniors or people with disabilities use this application to request reduced base rates for city utility services.

What this form is

This application lets eligible low-income seniors and people with disabilities request a reduction in the base rates for city water, sewer, and refuse services. Applicants provide household, utility account, income, and asset information and identify their household size and eligibility. The document says applications must be filed annually and includes income documentation requirements and an April 15 filing date for the benefit year.

Who needs it

Kettle Falls utility customers who are low-income seniors or people with disabilities and meet the application’s income, asset, housing, and service requirements may file it.

How to submit it

Submit the application to the City Clerk/Treasurer. Include the required income tax return and 1099s; the document says applications for the benefit year must be filed by April 15.

About notarization

This application has no notary block; the applicant signs and dates it before a city representative, and disabled applicants attach a doctor’s signed statement.

How to submit this form

  1. 1

    Download The Application

    Download the utility rate reduction application.

  2. 2

    Complete The Application

    Provide your account, household, income, and asset information and indicate whether you qualify as a senior or disabled applicant.

  3. 3

    Gather Required Documents

    Include the required income tax return and 1099s; disabled applicants should attach a doctor’s signed statement.

  4. 4

    Submit To The City

    Submit the application and supporting documents to the City Clerk/Treasurer. The document states an April 15 filing date for the benefit year.

Frequently asked questions

Who can apply for a utility rate reduction?
Low-income seniors age 62 or older and eligible people with disabilities may apply if they meet the form’s household income, asset, housing, and utility service requirements.
What documents should I include?
The application instructions call for the most current income tax return and all 1099s for the applicant and people living with them. Disabled applicants should attach a doctor’s signed statement.
Do I need a notary for the Utility Rate Reduction Application?
No. The application has no notary block; sign and date it before a city representative. Disabled applicants attach a doctor’s signed statement.
How do I submit the Utility Rate Reduction Application?
Submit it to the City Clerk/Treasurer with the required income documents. The form says applications for the benefit year must be filed by April 15.

Need something notarized?

This Low-Income Utility Rate Reduction Application doesn’t need a notary — but if you have another Kettle Falls form that does, a commissioned online notary can help.