Form 7: Serious Illness/Utility: Fill out & sign online

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Click ‘Get Form’ to open Form 7: Serious Illness/Utility in the editor.
Begin by entering the date at the top of the form. This is crucial for record-keeping and should reflect the current date.
Fill in the recipient's information, including the name and address of the local electric company. Ensure accuracy to avoid any delays.
In the body of the letter, clearly state your relationship to the patient and provide their full name and address. This establishes context for your request.
Detail Kevin Doe's medical condition, emphasizing that it is a serious and chronic illness. This section is vital for conveying urgency.
Finally, sign off with your name, title, and any relevant credentials to authenticate the letter.

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