501 N. Anderson. Ellensburg, WA 98926
Phone: (509) 962-7201
Fax: (509) 962-7130
To qualify for this discounted rate, the utility customer must meet the definition of a Non-Profit Agency, below:
"Non-Profit Agency Serving the Disadvantaged" means agencies with a 501 (c) 3 tax exempt designation from the Internal Revenue Service (IRS) whose primary clients/customers qualify for the Low Income Senior Citizen Utility Rate or the low Income Disabled Citizen Utility Rate.
I hereby swear underpenalties of perjury that I understand the questions on the application and that all of the statements, as marked, are true.
NOTE: If submitting this form electronically, please type your name and date on the corresponding lines above. Please review the electronic submittal disclaimer, and check box to acknowledge.
By placing your typed initials in the box, typing your name and date in the applicant/citizen signature field, and submitting this form electronically, I CERTIFY that all the information I am providing on this form is true and correct to the best of my knowledge. I also understand that my electronic signature is legally binding as if I were physically signing the form. I understand that any material misrepresentation, omission or falsehood may result in rejection or nullification of my application.
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