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City of Clewiston Utilities MEDICALLY ESSENTIAL ELECTRIC SERVICE APPLICATION Date of Application: ___Phone: ___Name on Account: ___ Account #___ Service Address: ___ Mailing Address:___ (IF DIFFERENT
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How to fill out medically essential electric service

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How to fill out medically essential electric service

01
Gather all necessary information and documents beforehand, such as medical prescriptions or statements from healthcare providers.
02
Contact your electric service provider or utility company to inform them about your need for medically essential electric service.
03
Fill out the required forms or provide the necessary information as requested by the electric service provider.
04
Submit the completed forms or information to the designated department or representative.
05
Follow up with the electric service provider to ensure that your request is being processed.
06
Provide any additional documentation or information if requested by the electric service provider.
07
Wait for the electric service provider to review your request and make a determination.
08
If approved, the electric service provider will make the necessary arrangements to ensure you have access to medically essential electric service.
09
If denied, you may appeal the decision or seek alternative solutions through advocacy organizations or government agencies.

Who needs medically essential electric service?

01
People who have medical conditions that require continual use of electric-powered medical equipment or devices, such as ventilators, oxygen concentrators, CPAP machines, dialysis machines, or mobility devices.
02
Individuals with medical conditions that significantly affect their safety or health when there is a disruption in electric service, such as individuals who require temperature-controlled environments for medication storage or individuals who rely on electric-powered home healthcare services.
03
Patients receiving medical treatments at home that require the use of electric-powered equipment, such as chemotherapy, intravenous therapies, or phototherapy.
04
Individuals with severe medical conditions that necessitate constant monitoring or medical interventions, and where a loss of electric service would pose a life-threatening risk.
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Medically essential electric service is a program designed to provide uninterrupted electrical service to individuals who rely on electric-powered medical equipment for their health and safety.
Individuals who are dependent on electric-powered medical equipment, such as oxygen machines or ventilators, are required to file for medically essential electric service.
To fill out the medically essential electric service application, individuals must provide information about their medical equipment, their personal details, and a healthcare provider's certification of the medical necessity.
The purpose of medically essential electric service is to ensure that individuals who depend on electricity for critical medical care have a reliable power supply and to prevent power interruptions that could endanger their health.
The information that must be reported includes the name and address of the applicant, the type of medical equipment used, the provider's contact information, and proof of medical necessity.
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