Pg&e medical baseline self certification form 2002-2026

1. Click ‘Get Form’ to open the pg&e medical baseline self certification form 2002 in the editor.
2. Begin by entering your PG&E Customer Account Number and your name as it appears on your bill. This ensures that your application is correctly linked to your account.
3. Fill in the Medical Baseline Resident’s Name if it differs from yours, along with the service address and mailing address if applicable. Accurate addresses are crucial for service verification.
4. Provide your home and work phone numbers. This information helps PG&E contact you regarding your application.
5. If applicable, complete the section for customers billed by someone other than PG&E, including details about the mobile home or apartment complex.
6. Read through the understanding section carefully, ensuring you acknowledge the requirements for continued eligibility based on medical conditions.
7. Finally, sign and date the form to certify that all information provided is correct before submitting it through our platform.

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