Revised 12/2012; City Municipal Code 9.04.530.A.2 1
Application for Senior or Disabled Citizens Discount
Environmental Services Department, City of El Paso
Date
Email:
Name
Birth Date
Address
Telephone No.
Zip Code
Water Account No.
1. Is this the first request for Senior or Disabled Citizens Discount?
☐ Yes
☐ No
2. Is the applicant the primary water account holder at this address?
☐ Yes
☐ No
3. Is the applicant 65 years of age or older, or currently certified as
100% disabled by the Social Security Administration, the Veterans
Administration or a public disability pension entity?
☐ Yes
☐ No
If the answers to both 2 and 3 are marked “Yes,” you are eligible for the Senior or Disabled Citizens
Discount. Please be aware that if you are approved for Senior or Disabled Citizens Discount, you are
not eligible for Sidedoor (Waiver) Collection Service.
I have read the attached rules and policy and agree to the conditions stated therein
(Please read page 2 of this form before signing).
Applicant’s Signature:
This application and supporting documentation may be mailed or to:
City of El Paso Environmental Services Department
Attn: Senior Discount Applications
7968 San Paulo
El Paso, TX 79907
Applications and supporting documentation may also submitted or faxed to the Environmental
Services Department between the hours of 7 a.m. and 6 p.m. Monday through Thursday at the
Municipal Service Center, 7968 San Paulo. Fax (915) 212-6100
Environmental Services Dept. Use Only
Approved?
☐ Yes ☐ No
Date :
Approved By:
Reason for Denial:
Revised 12/2012; City Municipal Code 9.04.530.A.2 2
II. Application
1) A resident applying for Senior or Disabled Citizens Discount must own and occupy, or rent and
occupy, the residence; be sixty-five (65) or more years of age; or present proof of disability in
accordance with this section. The discount will be the stated percentage or amount adopted resolution
of City Council. The applicant must complete a Senior or Disabled Citizens Discount Form and must
supply all requested information. The form and any supporting documentation can be mailed, faxed or
delivered to:
Environmental Services Dept., 7968 San Paulo, El Paso, Texas 79907. Fax (915) 212-6100
2) Proof of Age shall consist a copy of one of the following:
i. A valid driver’s license or state-issued identification card showing the day and year of birth;
ii. A Sun Metro Senior Citizen reduced fare card.
3) Proof of 100% disability shall consist a copy of one of the following:
i. Certification from Social Security Administration
ii. Certification from a proper administrative officer that the applicant is a recipient of a public disability
pension entity.
iii. Certification from the Veterans Administration
4) Person receiving a Senior or Disabled discount is not eligible for Sidedoor/Waiver Collection.
5) No person shall be entitled to a discount for more than one (1) residence.
6) The discount does not apply to charges for additional carts, special collections or other services
provided.
7) Approved discounts are not transferable to another person or address.
8) Eligibility for the discounted rate shall lapse at the end of each anniversary of determination of
eligibility.
9) The Director shall have the authority to investigate and verify eligibility.
III. Application Review
1) The application will be reviewed by the Director or designee.
2) An individual who no longer qualifies for a discounted rate is required to notify the Director of the
Department of Environmental Services in writing. The letter should be addressed to:
Environmental Services Dept., Attn: Director, 7968 San Paulo, El Paso, Texas 79907.
3) The Department reserves the right to investigate an applicant’s continued eligibility if there is reason
to believe that the discounted rate may no longer be warranted at the residence.
Staff Comments:
Container No.:
Mail this form to:
City of El Paso Environmental Services Department
Attn: Senior Discount Applications
7968 San Paulo Dr
El Paso, TX 79907
