If anyone living in your home uses life-support equipment or has a health problem, please have your health care provider tell us the type and duration of illness and any equipment used.
Life-support equipment is electrically-powered medical equipment necessary to sustain life or vital functions.
Mailing address or the fax number for returning the form are listed at the bottom of the form.
Please note: Completion of this form does not automatically grant a customer continuous utility service. You must continue to pay your bill.
For your health and safety, we advise all customers to have an alternate plan, power source and equipment option in the event of power outages or unforeseen circumstances. If power goes out, we do our best to restore service as quickly as possible. Depending on the cause and extent of damage to our system, restoration can take minutes, hours or even days.