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State of New Hampshire Public Utilities Commission 21 South Fruit Street, Suite 10 Concord, NH 03301 6032712431 www.puc.nh.govForm PUC 909.10 Annual Report for Group Hosts (RSA 362A:9, XIV) This form

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How to fill out the distribution utility will

01

Begin by collecting all necessary information and documents that will be required to fill out the distribution utility will.

02

Next, carefully review the instructions provided by the utility company regarding the distribution utility will form.

03

Start filling out the form by providing accurate personal information such as name, address, contact details, and any other required identification information.

04

Follow the form's instructions to enter information about the distribution utility account, including the account number, meter details, and any previous billing information.

05

If applicable, provide information about any beneficiaries or secondary account holders that may be included in the distribution utility will.

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Double-check all the information provided to ensure accuracy and completeness.

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Sign and date the form as required.

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Submit the filled-out distribution utility will form to the designated utility company representative either in person or through the specified submission method.

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Keep a copy of the filled-out form for your records.

Who needs the distribution utility will?

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The distribution utility will is needed by individuals who are customers of a utility company and wish to designate how their utility services and costs will be distributed in the event of their death or incapacitation.

02

It is particularly relevant for individuals who have multiple beneficiaries or secondary account holders who may be affected by the distribution of utility services and costs.

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