The Low Income Payment Plan provide customers an option to enroll parking citation(s) in a monthly payment plan.

To Apply for the Low Income Payment Plan:

1. Complete Part One and Part Three of this form.
2. Print out the form and mail the application and supporting documentation to:
   
   

City of El Segundo Parking Enforcement
P.O. Box 3214
Milwaukee, WI 53201-3214

IMPORTANT: Along with this application, you must submit proof that you are “Low Income” or receive “Public Benefits”. Acceptable forms of proof are described below. This application must be fully and properly completed, and transmitted in accordance with the instructions below.

“Public Benefits” are as defined at GC 68632(a) and include, but are not limited to, public benefits under one or more of the following programs: CalWORKs (or Tribal TANF), Supplemental Security Income and State Supplementary Payment,
Supplemental Nutrition or California Food Assistance Program, County Relief, General Relief or General Assistance, Cash Assistance Program for Aged, Blind, and Disabled Legal Immigrants, In-Home Supportive Services, Medi-Cal.

• Acceptable forms of proof include an electronic benefits transfer card or another card, or other documentation that confirms your receipt of qualifying Public Benefits

“Low Income” is defined at GC 68632(b) and is an applicant whose monthly income is 125 percent or less of the current poverty guidelines updated periodically in the Federal Register by the United States Department of Health and Human Services. See Chart below for current income thresholds.

• Acceptable forms of proof of Low Income include a recent pay stub, an earnings or financial statement, or other documentation that demonstrates that you qualify as Low Income.