Senior Citizen Refuse Discount Application

Senior Citizen Refuse Discount Application

Arlington Heights, IL Residents Only
Groot offers a Senior Discount Program providing 15% off monthly curbside service for single-family households where the head of household is age 65 or older. To enroll, please complete the form below.

The discount will begin the next Groot billing cycle following completion and approval of the application. If a senior household is currently registered for the discount, it is not necessary to re-apply.

You can also apply in-person at the Arlington Heights Senior Center at 847-253- 5532 at 1801 W. Central Rd. with your driver’s license or state ID and Groot bill. Senior Center hours are:
- Mondays/ Wednesdays 8:30 a.m. – 8 p.m.
- Tuesdays/Thursdays/Fridays 8:30 a.m. – 4:30 p.m.
- Saturdays 8:30 a.m. – 12:30 p.m.
Full Name*

First NameLast Name
Address (Must be located in Arlington Heights, IL)*

Arlington Heights Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Senior Citizen Discount: For households in which the head of the household is age 65 years old or older. Verify your most recent Groot Waste Bill showing your name, address, and account number.
Groot Account Number *
Please Upload (Attach) Copy of Groot Waste Bill

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Please Upload (Attach) a Photo Copy of Your Driver's License or State ID

Cancelof
I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.
Sign Here *
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Senior Citizen Refuse Discount Application

Senior Citizen Discount: For households in which the head of the household is age 65 years old or older. Verify your most recent Groot Waste Bill showing your name, address, and account number.