By signing this form I certify that:
I am applying for the City of Fircrest Low Income Utility Fee Credit.
If approved the credit will begin on the first day of the current bi-monthly billing cycle after the application is approved by the City of Fircrest.
I currently reside at the above property location.
I am currently receiving a Tacoma Public Utilities (TPU) low-income discounts, and
I have provided a copy of my most recent Tacoma Power bill showing that I am currently receiving their low-income discount.