Low-Income Discount Program Form

LOW-INCOME DISCOUNT PROGRAM GUIDELINES – Marin Water’s Low Income Discount Program is for customers with a gross annual household income at or below 80% of the Marin County low income level set by the Federal Department of Housing & Urban Development (FDHUD). Under this program the bimonthly meter service charge, watershed management fee and capital maintenance fee are waived (District Code § 6.01.150).

How to Qualify:

1. Have a separately metered, residential water service account for your primary residence in your name.

2. Not be claimed as a dependent on another person’s income tax return.

3. Show proof of having installed low flow showerheads, WaterSense labeled high efficiency toilets and low flow faucet aerators.

4. You must submit one of the following forms of identification for each household member:

  • California Driver’s License or California ID (for adults)
  • Medical card or School ID (for minors)

5. You must verify the household gross annual income meets the income guidelines outlined on page two, by submitting for every household member receiving income at least one of the following (please hide or remove the first five digits of any social security number on anything you submit). Any personal financial records will be maintained by the District in a separate directory accessible by designated District personnel and will not be disclosed to any member of the public, except as required by law.

  • A printout showing your name, current date and income amount for County Assistance or any other source of assistance (Medicaid/Medi-Cal for Families, CalFresh SNAP) (within the last 30 days); or
  • SSI (Supplemental Security Income) Year-end Benefit Letter (last calendar year); or
  • CAL Works letter (within the last 30 days); or
  • PG&E invoice copy showing CARE/FERA discount for the same customer and service address, as requested for our program (previous calendar month); or
  • Federal signed tax return (1040, 1040A, or 1040 EZ) including all schedules- most recent tax year – if electronically filed please manually sign the copy provided; or
  • Record of Account Transcript from the IRS (Internal Revenue Service) most recent tax year– May be obtained online through your IRS individual online account OR by calling the automated phone transcript service at 800-908-9946. Please allow 5 to 10 calendar days for delivery; or
  • IRS (Internal Revenue Service) Verification of Non-filing Letter (within the last 30 days). May be obtained online through your IRS individual online account OR by calling the automated phone transcript service at 800-908-9946. Please allow 5 to 10 calendar days for delivery.

6. You must notify Marin Water if your household no longer qualifies for the Low Income Discount.

7. You are required to recertify your eligibility every year.

INCOME GUIDELINES:

Gross annual household income is defined as all revenues, from all household members, from whatever source derived, whether taxable or non-taxable, including but not limited to: wages, salaries, interest, dividends, spousal support and child support payments, public assistance payments, social security and pensions, rental income, income from self-employment, and all employment-related, non-cash income.

Please note: Income guidelines are subject to change. Marin Water reserves the right to request additional information at any time. While eligibility is normally for a one-year period, participation in the program can be revoked if a consumer does not meet all qualifying criteria as set forth in the District code. Marin Water may modify any or all eligibility criteria, or program components including discontinuing the program, by action of the Board of Directors (District Code 6.01.150).

GROSS Income limits for Fiscal Year 2027 (effective July 1, 2026)

Number of Persons in HouseholdGross Monthly Household Income
(all household income before taxes)		Gross Annual Household Income
(all household income before taxes)
1$7,847$94,160
2$8,967$107,600
3$10,087$121,040
4$11,207$134,480
5$12,103$145,240
6$13,000$156,000
7$13,897$166,760
8 and up$14,793$177,520

"*" indicates required fields

Low-Income Discount Program Application

Complete ALL steps below. Incomplete applications will be denied and require re-application resulting in the delay of acceptance. The Low-Income Discount Program is not retroactive; customers who qualify will begin receiving the waiver the next billing cycle once your application is approved.
Service Address*
Mailing Address (if different)
Is a copy of an accepted form of identification for each household member included?*
Drop files here or
Max. file size: 150 MB.
    My total GROSS (not adjusted) household income does NOT exceed the following*

    GROSS Income limits for Fiscal Year 2026 (effective July 1, 2025)

    Number of Persons in Household 1 2 3 4 5 6 7 8 and up
    Gross Monthly Houshold Income (all household income before taxes) $7,220 $8,253 $9,283 $10,313 $11,140 $11,966 $12,790 $13,616
    Gross Annual Household Income (allhousehold income before taxes) $86,640 $99,040 $111,400 $123,760 $133,680 $143,600 $153,480 $163,400
    Drop files here or
    Max. file size: 150 MB.
      Is a copy of all GROSS Household Income documents included for every household member receiving income (refer to program guidelines)?*

      Declaration and Application Checklist

      Please read, check the three boxes, sign, and date.) I certify under penalty of perjury that the information on this application is truthful and correct. I have read and understand the requirements of the Low Income Discount Program and agree to provide proof of income in order to participate. I agree to notify Marin Water of any changes to my household or income that may affect my eligibility for assistance. I understand that if I receive the discount without qualifying for it, I may be required to pay back the discount I received.
      I have read and understand the requirements of the Low Income Discount Program and certify that I meet all of the program guidelines and qualifications. Marin Water reserves the right to request additional information at any time.*
      I agree to notify Marin Water of any changes to my household or income that may affect my eligibility for assistance. I have included an accepted form of identification for each member of the household.*
      I have included accepted proof of income to verify the total gross annual household income. I have hidden or removed the first five digits of any Social Security number on the documentation uploaded..*

      If you prefer to apply or submit your information in person, contact Customer Accounts & Billing at 415-945-1400, or visit our Administrative Offices, 220 Nellen Ave., Corte Madera, during normal business hours (8 a.m. to 4:30 p.m. Monday-Thursday).