Request #8036

PUBLIC

I worked for the City of Milpitas - Finance/Fiscal Services/Utility Section. I am doing research to implement some requirements of SB998 Policy on Discontinuance of Residential Water Service. I would like to request from City of Garden Grove copies of the following FORMS (in Excel or Word) on SB998 Alternative Payment Arrangements:
1) Form 998-A Certification of a Primary Care Provider
2) Form 998-B Certification of a Financial Hardship
3) Form 998-B2 Declaration of Household Income

I found these FORMS in your website in the PDF format. I am requesting these forms in either Excel or Word format.

Your assistance is greatly appreciated and will be greatly helpful to us.
Thank you very much.

Correspondence

Request has been completed.
October 03, 2022
Message from Amanda M Pollock

Please click on the link below to access document(s) responsive to your request.

Thank you,
City Clerk’s Office
City of Garden Grove

October 03, 2022
Assigned to Tina Huong Ngo
September 21, 2022
Request received
September 21, 2022

 

Closed on Oct 03
Respond