Sce medical baseline 2013 form-2026

1. Click ‘Get Form’ to open the sce medical baseline 2013 form in the editor.
2. Begin by filling out Part I, which includes your SCE Customer Account Number, Service Account Number, and your name as it appears on your bill. Ensure all information is accurate for smooth processing.
3. Provide your service address and mailing address if different. Include home and alternate phone numbers for contact purposes.
4. If applicable, complete the section for customers billed by someone other than SCE, including details about the mobile home or apartment complex.
5. In the Medical Baseline Alternate Contact Information section, select your preferred method of receiving outage notifications and provide the necessary contact details.
6. Review the customer understanding section carefully. Confirm that you understand the requirements for re-certification and sign at the bottom of Part I.
7. Part II must be completed by a licensed medical doctor. Ensure they fill in their certification regarding life-support devices and any additional heating or cooling needs.
8. Once completed, save your changes and submit the application as directed on our platform.

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