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City of Auburn

utilities@auburnwa.gov

25 W Main Street, Auburn, WA, 98001, US

Document Signers
    • 1 Applicant

    • 2 Utility Department

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Signature HereClick to Sign
05/27/2018Click to Sign
I.N.Will Update Upon Signing

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Additional Signatures Required

Proof of Identity (REQUIRED) - Copy of valid Washington State Driver’s license, Passport, Permanent Resident Card or State Identification Card, showing picture, address and date of birth.
Tax Return (REQUIRED) - All pages of return are required along with copies of source of income
Form W-2, Wages
Form SSA-1099, Social Security Retirement Benefit (SSA) Statement
Social Security Insurance (SSI) Benefits Letter
Form #1099 for Pension, IRA, Dividends, Interest, Minimum Retirement Distribution (MRD)
DSHS Benefits Letter for food, cash, and/or medical (All pages)
(State of Washington) Unemployment Compensation Payments Statement
Child Support or Alimony Statement
Veterans Administration Benefit Award Letter
Labor & Industry (L & I) Payment Statement
Any other sources(s) of income
Comcast Bill (Required if you are applying for Comcast discount)