Benefits of a Medical Certification Form
There are benefits to having a Medical Certification Form on file with your utility.
If you have a pending shut-off notice, and request a medical certification form, it will pause the termination for 30 days. You must enter into a payment agreement during those 30 days.
Verifying your well-being and providing assistance to you in the event of a weather-related emergency, as possible. However, submitting this form will not provide you with priority in restoration of electricity service.
There are extra protections in terms of terminations for non-payment. Termination can not happen until 2 personal attempts are made either:
In-person: Visiting and leaving a copy with an adult or if no one is home, leaving a copy at the premises.
Telephone: Call during business hours or if no one is home, during the evening after 6pm.
If you or someone in your home is medically vulnerable, you may consider sending this completed form over to your utility company.
Steps to get a Medical Certification Form on file with your utility
Call your utility and tell them that there is a medical issue in the home and that you are working on getting a Medical Certification Form filled out by your healthcare provider.
Get the form filled out and signed by your physician, nurse practitioner, or physicians assistant.
Make at least 3 copies. One for yourself, one for your utility, and one for the Office of Home Energy Programs to include if you decide to apply for assistance.
Call your utility company and tell them that you want to send them a completed medical certification form. Ask them where to send the form.
After you send the utility the completed form, call to confirm with your utility that they have it on file.