penalty charge exemption application
Post on 12-Apr-2022
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Eligible applicants for this program will have the late penalty charge waived on Electric and Water Utility bills. To be eligible:
• A written application must be filed with Customer Service.• Electric and/or Water service must be in the APPLICANT’S name.• Applicants for exemptions are allowed under one category: - Senior Citizens (65 years and older) - Disabled Veterans - Permanently and Totally Disabled
PENALTY CHARGE EXEMPTION APPLICATION
Senior Citizens (65 years and older) Disabled Veteran
Proof of status is required. Follow the directions below.
Permanently and Totally Disabled
Application For:(Choose One Only)
Senior Citizens (Only one is required)
Birth Certificate DAV Medical Card
Disabled Veteran Permanently and Totally Disabled
Proof Required:(Use copies—Do not enclose original documents since they will not be returned)
Drivers License,plus one other ID
Baptismal Record
Other VA ID
Award Letter from Social Security Administration Office
Name Phone Number
Social Security Number Age
Address (Street, City, State, Zip)
Elecrtic Account Number Water Account Number
Signature
Preparer’s Signature
Preparer’s Phone Number
VINELAND MUNICIPAL UTILITIES640 WOOD ST. PO BOX 1508VINELAND, NJ 08362-1508VMEU@VINELANDCITY.ORG
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