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2. To qualify for the Special Senior Discounted Garbage Program, you must meet the following criteria:
   
   1. AGE At least one of the owners/residents in the house must be 62 years old or older.
   2. INCOME Your total annual household income, from all sources, must be less than $50,754 (50% of the Area Median Income).
   3. RESIDENCE You must be a resident of the City of Issaquah, and own and reside in your own home.
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Age as of this date*
20. I hereby certify that I meet the age and income requirements specified for the Special Senior Discounted Garbage Rate program. I also agree to the release of my account information to Recology CleanScapes for the purpose of establishing participation in the City’s special utility rate program for solid waste collection services.*

    1. I agree
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22. 1. Receive an email copy of this form.
23. Email address

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24. Submit

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