HomeMy WebLinkAboutReduced Rate Application_2026________________________________________________________________________________________________________________
City of Renton Utility Billing • 1055 S Grady Way, Renton, WA 98057 • 425-430-6852 • ub@rentonwa.gov • rentonwa.gov
City of Renton Utility Billing Application for Reduced Utility Rate
AND/OR UTILITY TAX REBATE FOR LOW-INCOME SENIOR CITIZENS
SUBMIT COMPLETE APPLICATION
AND ALL REQUIRED DOCUMENTS TO:
City of Renton Utility Billing
1055 S Grady Way
Renton, WA 98057
Name: Service Address:
Email: Mailing Address:
Do you receive a City of Renton utility bill? I am the: ☐
☐
Property Owner
Registered Tenant
☐Yes Utility Billing account #:Move in date:
☐No See Utility Tax Rebate section Phone #:
Parameters for the Reduced Rate programs
For low-income senior citizens:
The reduced rate program is for City of Renton residents that are 61 years of age or older, and the annual
gross income for the household is less than $84,850.
o An allowance of $5,000 is granted for each additional individual.
The affidavit may be renewed:
o Property owners - every two (2) years
o Registered tenants – annually (1) year, or when requested by City of Renton staff
The subsidy is for City of Renton services only. King County sewer is exempt from this program.
Utility Tax Rebates:
A rebate on the utility tax may be available for qualified residents of the City of Renton who do not directly
receive a City of Renton utility bill.
Application packets for the utility tax rebate are accepted annually between April 15 – June 15.
The required application, documents, and eligibility parameters are the same for the reduced rate
program and require annual renewal.
☐*Proof of residency must also be submitted in the form of a current electric/gas,
cellphone, or insurance statement.
Rebate check amount will vary depending on the current CPI-W annual average percentage rates and are
pro-rated for occupancy of less than one year.
Rebate checks are mailed out in the fall once all applications submitted during the acceptance period
have been processed and requests are approved by finance administration.
OFFICE USE ONLY Initial and continue
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**Red fields are required
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_ City of Renton Utility Billing • 1055 S Grady Way, Renton, WA 98057 • 425-430-6852 • ub@rentonwa.gov • rentonwa.gov
City of Renton Utility Billing Application for Reduced Utility Rate
AND/OR UTILITY TAX REBATE FOR LOW-INCOME SENIOR CITIZENS
REQUIRED: ONE ITEM FROM EACH CATEGORY TO PROVE ELIGIBILITY & RESIDENCY
*DO NOT cut or alter documents in any way.*Documents submitted with redactions, whiteout, or on paper
smaller than 8.5”x11” are not submissible and will be returned
unprocessed. *DO NOT submit any other documents not requested
Applicant Name Age* Proof of Identity and Residency Income Verification
☐Current WA Driver’s License or ID card ☐ Current 1040 Tax Return
☐Passport with proof of Residency ☐Last 2 months of all bank statements
from all bank accounts in their entirety
*Under age 61? Supply proof of permanent
disability with one of the following:
☐Social Security Award Letter
☐Other state or federal program approval letter
Name of Resident 2 Age* ☐ Current WA Driver’s License or ID card ☐ Current 1040 Tax Return
☐Passport with proof of Residency ☐Last 2 months of all bank statements
from all bank accounts in their entirety
Name of Resident 3 Age* ☐ Current WA Driver’s License or ID card ☐ Current 1040 Tax Return
☐Passport with proof of Residency ☐Last 2 months of all bank statements
from all bank accounts in their entirety
Name of Resident 4 Age* ☐ Current WA Driver’s License or ID card ☐ Current 1040 Tax Return
☐Passport with proof of Residency ☐Last 2 months of all bank statements
from all bank accounts in their entirety
Name of Resident 5 Age* ☐ Current WA Driver’s License or ID card ☐ Current 1040 Tax Return or
☐Passport with proof of Residency ☐Last 2 months of all bank statements
from all bank accounts in their entirety
AFFIDAVIT
I affirm and promise that if I qualify to receive the reduced utility rates/utility tax rebate that I will promptly notify the City of
Renton in writing if I move from the above address, and of any change in my financial condition that disqualifies me from
receiving a special utility rate and/or rebate. If it is determined that I am not qualified to receive a special utility rate reduction
or rebate, I also promise to promptly repay the City of Renton any utility rate undercharge or a rebate payment made to me
prior to that determination.
I agree to provide the City of Renton, or its duly authorized representative, additional information about my income and/or
residence, as may be requested from time to time. I also confirm that I have provided documentation to verify my eligibility
and household income from all sources and I declare under penalty of perjury that the information on this application is true
and complete.
Signature: Name:
Date: