Senior Citizen ID Card
Application for Senior Citizen Identification Card for Town of North Hempstead Residents You may type information into each field and then print out the completed form.
Your Name:
Mr. Mrs. Ms.
Your Address:
Your Phone Number:
Residing Within North Hempstead Township Since (Year):
Date of Birth:
You Must Attach Proof of Age and residence with Your Application ( i.e. copy of drivers license) This Application may be presented to the Senior Citizens Office at Town Hall or mailed to: Acting Commissioner Kimberly Corcoran Department of Community Services
Clinton G. Martin Park
1601 Marcus Avenue
New Hyde Park, NY 11040 A list of merchant discount stores will accompany your Identification Card when issued. Please show your card when making purchases at stores listed in the directory.
CARDS ISSUED AS LONG AS YOU RESIDE WITHIN THE TOWN TO RESIDENTS AGED 60 AND OVER ARE VALID FOR YOUR LIFETIME. IT IS NOT NECESSARY TO RENEW THIS APPLICATION. |