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This document is used by senior citizens or dependent adults to authorize the Cuyahoga County Treasurer to notify a designated third party about unpaid or delinquent property taxes.
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How to fill out APPLICATION FOR THIRD PARTY NOTIFICATION PROGRAM FOR SENIOR CITIZENS AND/OR DEPENDENT ADULTS

01
Obtain the APPLICATION FOR THIRD PARTY NOTIFICATION PROGRAM form from the relevant agency or online.
02
Read the instructions carefully to ensure understanding of the requirements.
03
Fill in the personal information section, including the applicant's name, address, and contact details.
04
Provide the details of the senior citizen or dependent adult for whom the application is being made.
05
Specify the third party who will receive the notifications, including their name and contact information.
06
Attach any required documentation that supports the application.
07
Review the application for completeness and accuracy.
08
Sign and date the application form.
09
Submit the completed application to the appropriate agency or authority.

Who needs APPLICATION FOR THIRD PARTY NOTIFICATION PROGRAM FOR SENIOR CITIZENS AND/OR DEPENDENT ADULTS?

01
Senior citizens who may need additional support and communication regarding their services.
02
Dependent adults who require help in ensuring they receive important notifications.
03
Family members or caregivers of seniors and dependent adults who wish to ensure notifications are directed to them.
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The Application for Third Party Notification Program for Senior Citizens and/or Dependent Adults is a document that allows utility companies and service providers to send notifications to a designated third party on behalf of senior citizens or dependent adults about their account status, service interruptions, and other important communications.
Any senior citizen or dependent adult who may need assistance in managing their utility accounts or who wishes to have an advocate notified of important account information can file this application.
To fill out the application, the individual must provide their personal details, account information with the utility company, and the contact information of the third party they wish to designate for notifications. Completed forms should be submitted to the respective service provider.
The purpose of the application is to ensure that senior citizens and dependent adults, who may have difficulties managing their accounts or understanding communications, can receive assistance from a trusted person, ensuring their needs are met in a timely manner.
The application must include the name, address, and contact number of the individual applying, their account details with the utility service provider, and the name and contact information of the designated third party who will receive notifications.
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