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  • Senior Residents Discount Program Application - Alameda County ...

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Com fax 510-357-8693 mail or hand-delivery to Alameda County Industries Billing Dept. 2307 Blanding Ave. Suite B Alameda CA 94501 July 2014 510-483-1400 voice 510-357-7329 fax info alamedacountyindustries. Suite B Alameda CA 94501 July 2014 510-483-1400 voice 510-357-7329 fax info alamedacountyindustries. com www. alamedacountyindustries. com FOR STAFF USE ACI Account Number Route Number Regular Quarterly Billing Service Day ELIGIBILITY Review completed by On ACI Representative c Approved c Denied IF DENIED REASON c Insufficient proof of age. The provision for senior resident discounts is found in the City of Alameda s Solid Waste and Recycling Ordinance Chapter XXI Section 21-20. INSTRUCTIONS Please print or type the requested information. Attach a copy of your recent Driver s License California State Identification Card or other proof of age for verification. Date of Application Customer Name ADDRESS Street City Daytime Phone State Zip Code Email Address Date of Birth Signature Date ....

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How to fill out the Senior Residents Discount Program Application - Alameda County online

This guide provides a clear and supportive approach for completing the Senior Residents Discount Program Application in Alameda County. Follow these steps carefully to ensure your application is filled out correctly for potential discounts on waste collection services.

Follow the steps to successfully complete your application online.

  1. Click ‘Get Form’ button to obtain the application form and open it in your preferred online editor.
  2. Fill in the date of application at the top of the form.
  3. Enter your full name in the 'Customer Name' field.
  4. Provide the service address, including street, city, state, and zip code.
  5. Input your daytime phone number in the designated space.
  6. Add your email address for any correspondence regarding your application.
  7. Input your date of birth to verify eligibility of being 65 years or older.
  8. Sign the form in the ‘Signature’ field to confirm the information is accurate.
  9. Include the date next to your signature to finalize your application.
  10. After completing the form, save your changes, and choose to download, print, or share the form as needed.

Complete your application online today to take advantage of available discounts.

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The Alameda County Social Services Agency – Department of Adult and Aging Services strives to be consumer-focused and accessible to the community. The department offers a coordinated service delivery system that protects, supports, and advocates for an aging population, particularly those with disabilities.

Programs & Services Aging and Disability Resource Connection. Alzheimer's/Dementia Support. CalFresh Expansion. CalFresh Healthy Living (Nutrition & Exercise) Caregiver Resource Center. Community-Based Adult Services (CBAS) Digital Inclusion. Dignity At Home Fall Prevention Program.

The Alameda County Social Services Department of Adult and Aging Services is available to residents of Hayward and all of Alameda County. For more information call 510-577-1900 or visit their website.

AAAs coordinate and offer services that help older adults remain in their homes - if that is their preference - aided by services such as Meals-on-Wheels, homemaker assistance, and whatever else it may take to make independent living a viable option.

Alameda County's "Care Partners" is a first-of-its-kind community-based culturally-relevant palliative care program. The coordination of care is designed to keep county residents in their homes safely and comfortably as they deal with serious illness or end-of-life care.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232