Shutoff Protection Application Form for claiming and certifying protection from shutoff because: 1) one of your household members is seriously ill or under 12 months of age AND you are experiencing financial hardship; 2) all household members are 65 years of age or older; or 3) all household members are either 65 years of age or older or under 18 years of age AND you are experiencing financial hardship.
Life Sustaining Equipment to let us know in advance that you or a household member relies on electrically operated life-sustaining medical equipment, and may be in immediate danger if your electric service is interrupted.