Skip to form

Village of Arlington Heights

communications@vah.com

33 S. Arlington Heights Road , Arlington Heights , IL, 60005, US

847-368-5000

image

Low-Income Groot Discount Program

Groot's Low-Income Discount program is available for senior citizens age 65 or older and persons with disabilities, whose household income is less than $16,000 per year. If you match these required critera, please fill out the form below. 

This discount does not apply to landscape waste stickers, the landscape waste subscription programs, or the Special Collection rates.

Contact the Village's Social Worker for Disability and Geriatric Services at 847-368-5793 for more information or to fill out an in-person application.

 

Please note that this program requires applicants to recieve a household income less than $16,000/year. If you are looking for a general Senior Citizen Discount for any residents over the age of 65, please visit the Groot Senior Citizen Discount Program.

Full Name

Full Address

Attach a copy of your last Groot bill showing your name, address, and account number

Copy of Recent Groot Bill

Click Here to Upload

Seniors

Seniors, please attach a copy of one of the following forms for the senior member of the household for proof of age

Driver's License

Click Here to Upload

State ID

Click Here to Upload

Birth Certificate

Click Here to Upload

Citizens with Disabilities

Attach a copy of your Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) award letter or a physicians certificate of disability, for proof of disability.

Attach one of the following

SSI or SSDI Award Letter

Click Here to Upload

Disability Certificate

Click Here to Upload

I certify that all the information contained in this application, with attachments, is complete and true.

Sign Here

Choose how to sign