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Medial Certification allows customers to avoid gas and electric service disconnection due to family health problems for 30 days, with specific guidelines for certification and patient responsibilities.
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How to fill out medical certification for residential
How to fill out Medical Certification for Residential Customers
01
Obtain the Medical Certification form from your utility provider.
02
Fill in your personal details, including name, address, and account number.
03
Provide details about the medical condition that necessitates the certification.
04
Include the duration for which the medical condition is expected to last.
05
Have the form signed and dated by a licensed healthcare professional.
06
Submit the completed form to your utility provider, either online or via mail.
Who needs Medical Certification for Residential Customers?
01
Residential customers who have a medical condition that requires a constant and reliable utility service.
02
Individuals who are dependent on medical equipment that requires electricity.
03
Customers living with disabilities that necessitate special accommodations in their utility services.
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What is Medical Certification for Residential Customers?
Medical Certification for Residential Customers is a document that certifies a medical condition requiring special considerations for residential utility services, allowing customers with medical needs to receive specific protections from service disconnection.
Who is required to file Medical Certification for Residential Customers?
Residential customers who have a medical condition that necessitates a continuous supply of utility services, such as electricity or water, are required to file Medical Certification.
How to fill out Medical Certification for Residential Customers?
To fill out Medical Certification for Residential Customers, customers must complete a form provided by their utility company, including details about the medical condition, the doctor's information, and the customer's information, ensuring all sections are accurately filled and signed.
What is the purpose of Medical Certification for Residential Customers?
The purpose of Medical Certification for Residential Customers is to protect individuals with medical conditions from service interruptions that could jeopardize their health or well-being, ensuring they have access to essential utility services.
What information must be reported on Medical Certification for Residential Customers?
Information that must be reported includes the customer's name, address, account number, a description of the medical condition, the physician's name and contact information, and a statement of the necessity for continued utility service.
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