Gas Company Medical Baseline Form

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Medical Baseline Allowance Program | SoCalGas

https://www.socalgas.com/save-money-and-energy/assistance-programs/medical-baseline-allowance

You may qualify for the Medical Baseline Allowance program if you, another full-time resident of your home, or your patient: Is temperature-sensitive and requires additional …

Medical Baseline Allowance Information

https://www.socalgas.com/sites/default/files/1443742426764/MBL_Information_Application.pdf

Date Received: Medical Baseline Allocation: Electric unit(s) Gas unit(s) Recertification: c. Self-certify every two years . c. Self-certify annually; medical provider’s certification …

Medical Baseline Program - Pacific Gas and Electric …

https://www.pge.com/en_US/residential/save-energy-money/help-paying-your-bill/longer-term-assistance/medical-condition-related/medical-baseline-allowance/medical-baseline-allowance.page

Or, submit a paper self-certification form by mail: The Medical Baseline Self-Certification form is included with your renewal notification letter. You may also print a copy …

Medical Baseline Program Application - Pacific Gas …

https://www.pge.com/includes/docs/pdfs/myhome/saveenergymoney/financialassistance/medicalbaseline/medbaseline_application_eng_v2.pdf

Medical Baseline Program Application— Part B (To be completed by Medical Practitioner *.) Medical Practitioner’s Certification for Medical Baseline Program Enrollment and …

Medical Baseline - California Public Utilities Commission

https://www.cpuc.ca.gov/consumer-support/financial-assistance-savings-and-discounts/medical-baseline

This is called the “Baseline Allowance,” and it is set depending on what climate zone your home is in and whether it is the utility’s “winter” or “summer” season. If you rely on life …

Southwest Gas: California Medical Baseline Allowance

https://www.swgas.com/en/california-medical-baseline-allowance

Home Residential Services Special Programs California Medical Baseline Allowance CALIFORNIA If you are a Southwest Gas California customer, and you or a full-time …

Medical Baseline Application | San Diego Gas & Electric

https://www.sdge.com/medical-baseline-application-document

Medical Baseline Application | San Diego Gas & Electric Manage Your Energy Bill We have many programs and services to help you manage energy bills. See if you qualify for debt …

Medical Baseline Allowance Application For Medical …

https://svdp-cc.org/wp-content/uploads/2022/01/PGE_medbaseline_application_eng_v2.pdf

Medical Baseline Allowance Application For Medical Baseline Enrollment and ReCertification I understand that: If the doctor certifies the resident’s medical condition is …

SOUTHERN CALIFORNIA GAS COMPANY CAL.

https://tariff.socalgas.com/regulatory/tariffs/tm2/pdf/tariffs/GAS_G-SAMPLES_Med_Baseline_App.pdf

FORM 4859E N20E0017A 0120 APPLICATION FOR ENROLLMENT AND RE-CERTIFICATION PART 1: TO BE COMPLETED BY CUSTOMER (PLEASE PRINT) …

Utility Discounts in California for People with Disabilities

https://undivided.io/resources/utility-discounts-in-california-for-people-with-disabilities-1388

California’s energy companies offer a Medical Baseline program for people with disabilities who require additional allocations of electricity or natural gas due to their …

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