| 1. |
Use this form to apply for
the Senior Citizen Discount, which offers a 10% reduction in your
regular CWLP electric rate. |
|
2. |
To open this form, your computer should
be equipped with Adobe Acrobat or Acrobat Reader. For a free download of
the most recent version of Acrobat Reader, click on this icon:
 |
| 3. |
This form is available only
in downloadable format. You cannot fill it out online or submit it
electronically. You
must print a copy and fill it out and submit it manually. |
| 4. |
Your completed form must
be accompanied by a copy of one of the following documents in
order to verify your age: |
| |
n valid driver's license
n State of Illinois ID Card
n birth certificate
n Medicare Card |
| 5. |
Your form must also be
accompanied by copies of all of the following
applicable documents in order to verify your income eligibility: |
| |
n wage statements
n Federal Income Tax Form (first page of Form
1040)
n Social Security benefit statement
n retirement/pension fund information
n interest/dividend income statements
n Circuit Breaker form |
| 6. |
Mail, fax or return the
form and all applicable verification documents to: |
Senior
Citizen Discount
CWLP
Customer Service Office
Room 101
Municipal Center West
Springfield, IL 62757 |
| FAX: (217)
789-2026 |
| 9. |
If you have questions about
this application or about your eligibility for the Senior Citizen
Discount, call the Customer Service Office,
789-2030, or email
publicinformation@cwlp.com. |
