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Content Overview

The Utility Bill form serves as a vital document for individuals and businesses alike, facilitating the management and payment of utility services such as electricity, water, and gas. This form typically includes essential information like the account holder’s name, service address, billing period, and the total amount due. It may also feature details about previous payments, usage statistics, and payment options available to the customer. Understanding the components of the Utility Bill form is crucial for ensuring timely payments and avoiding service interruptions. Additionally, it may serve as a reference point for disputing charges or tracking usage over time. By familiarizing oneself with this form, users can better navigate their utility expenses and maintain control over their household or business finances.

Similar forms

The Utility Bill form serves as a vital document for various purposes, often being compared to other important documents. Here are nine documents that share similarities with the Utility Bill form:

  • Bank Statement: Like a utility bill, a bank statement provides proof of residence and can be used to verify identity. Both documents typically include your name and address, making them useful for establishing residency.
  • Lease Agreement: A lease agreement outlines the terms of renting a property and confirms your residency. Similar to a utility bill, it includes your name and the address of the residence.
  • Credit Card Statement: This document shows your financial transactions and often includes your name and address. It can serve as proof of residence, much like a utility bill.
  • Tax Return: A tax return contains personal information, including your address. It is often required for various applications, similar to how a utility bill is used to verify residency.
  • Residential Lease Agreement: This legal contract is essential for clearly defining the rental terms and responsibilities, and you can find a helpful template at arizonaformpdf.com.

  • Insurance Policy Document: An insurance policy document lists your name and address, confirming your residency. It serves a similar purpose in identity verification as a utility bill.
  • Government-Issued ID: A government-issued ID, such as a driver’s license, includes your name and address. It is essential for identification, paralleling the utility bill’s role in confirming residency.
  • Pay Stub: A pay stub shows your earnings and typically includes your name and address. It can be used to verify identity and residence, much like a utility bill.
  • Voter Registration Card: This card confirms your voting eligibility and includes your name and address. It serves as proof of residency, similar to the utility bill.
  • Mortgage Statement: A mortgage statement details your home loan and includes your name and address. It acts as proof of residency, akin to a utility bill.

Each of these documents plays a crucial role in establishing identity and residency, similar to the Utility Bill form. Understanding these similarities can help you gather the necessary paperwork for various applications and processes.

Document Specifics

Fact Name Description
Purpose The Utility Bill form is used to document the consumption of utility services such as water, electricity, and gas.
Information Required Typically, the form requires details like the account holder's name, address, and the utility provider's information.
Frequency of Submission Utility bills are usually submitted monthly, reflecting the usage for the previous month.
Payment Options Most utility companies offer various payment methods, including online payments, checks, and automatic withdrawals.
State-Specific Regulations In California, for example, the governing law is the Public Utilities Code, which outlines consumer rights regarding utility services.
Late Fees If payments are not made on time, utility providers may charge late fees, which can vary by company and state.
Assistance Programs Many states offer assistance programs for low-income households to help pay their utility bills, ensuring access to essential services.

Things You Should Know About This Form

  1. What is the Utility Bill form?

    The Utility Bill form is a document used to provide proof of residence and utility service. It typically includes information about the account holder, the service address, and the utility provider. This form may be required for various purposes, such as applying for government assistance, verifying identity, or establishing residency.

  2. Who needs to fill out the Utility Bill form?

    Individuals who need to demonstrate their residency or utility service may be required to fill out this form. This includes tenants, homeowners, and anyone applying for services or benefits that require proof of address.

  3. What information is needed to complete the Utility Bill form?

    To complete the form, you will typically need:

    • Your full name
    • The service address
    • The name of the utility provider
    • Your account number
    • The billing period covered by the bill
    • Any additional identification or documentation requested
  4. How do I obtain a Utility Bill?

    You can obtain a utility bill by contacting your utility provider directly. Most providers offer online access to your account, where you can view and print your bills. Alternatively, you can request a paper copy to be mailed to you.

  5. Is there a fee for obtaining a Utility Bill?

    Typically, there is no fee for obtaining a copy of your utility bill. However, some providers may charge a small fee for paper copies or for expedited services. It's best to check with your utility provider for their specific policies.

  6. Can I use a past Utility Bill?

    In many cases, a past utility bill can be used as proof of residence, provided it is recent and includes your name and address. However, some applications may require a current bill, so be sure to check the specific requirements.

  7. What if my name is not on the Utility Bill?

    If your name is not on the utility bill, you may still be able to use it as proof of residence if you can provide additional documentation, such as a lease agreement or a letter from the account holder confirming your residence. Always verify with the requesting party what documentation is acceptable.

  8. How do I submit the Utility Bill form?

    The submission process for the Utility Bill form varies depending on the organization requesting it. You may need to submit it in person, via email, or through an online portal. Be sure to follow the specific instructions provided to ensure proper processing.

  9. What should I do if I make a mistake on the Utility Bill form?

    If you notice a mistake after submitting the form, contact the organization that requested it as soon as possible. They will guide you on how to correct the error and may require you to resubmit the form with the correct information.

  10. Where can I find assistance if I have questions about the Utility Bill form?

    If you have questions, consider reaching out to the organization that requires the form. They can provide specific guidance. Additionally, your utility provider may also offer assistance regarding your account and billing questions.

Documents used along the form

When dealing with utility services, several forms and documents may accompany the Utility Bill form. These documents help in verifying identity, establishing service accounts, or addressing billing inquiries. Below is a list of commonly used documents that may be relevant in such contexts.

  • Identification Document: This may include a driver's license or passport. It serves to confirm the identity of the individual requesting service or making changes to an account.
  • Service Application Form: This form is often required when establishing a new utility service. It collects essential information about the customer and the service address.
  • Payment Agreement: A payment agreement outlines the terms for settling outstanding bills. This document can be crucial for customers needing flexible payment options.
  • Dispute Resolution Form: If there are discrepancies in billing, this form is used to formally address disputes with the utility provider. It details the nature of the complaint and the desired resolution.
  • Transfer-on-Death Deed: To streamline the inheritance process, consider utilizing a Transfer-on-Death Deed. This legal document allows for the transfer of property to beneficiaries without going through probate, providing a hassle-free way to manage estate planning. For more information, visit https://todform.com/blank-massachusetts-transfer-on-death-deed/.
  • Change of Address Form: When a customer moves, this form updates the utility company with the new address for service and billing purposes.
  • Authorization Form: This document allows another person to manage the utility account on behalf of the account holder. It is often necessary for family members or caregivers.

Understanding these forms can facilitate smoother interactions with utility providers. Each document serves a specific purpose, ensuring that both customers and companies can effectively manage utility services.

Utility Bill Preview

ENERGY STATEMENT

Account No:

1234567890-1

Statement Date:

09/07/2019

www.pge.com/MyEnergy

Due Date:

09/28/2019

 

 

Service For:

SPARKY JOULE 12345 ENERG'( CT

Questions about your bill?

Monday-Friday 7 a.m.-9 p.m. Saturday 8 a.m.-6 p.m. Phone: 1-800-743-5000 www.pge.com/MyEnergy

Ways To Pay

www.pge.com/waystopay

Your Account Summary

Amount Due on Previous Statement

$91.57

Payment(s) Received Since Last Statement

-91.57

Previous Unpaid Balance

$0.00

Current PG&E Electric Delivery Charges

$55.66

Silicon Valley Clean Energy Electric Generation Charges

$32.48

I Total Amount Due by 08/28/2019

$88.14

Monthly Billing History

 

 

 

 

Daily Usage Comparison

$200

 

 

 

 

 

 

 

1 Year

Last

Current

 

 

 

 

 

 

 

Ago

Period

Period

$150

 

 

 

 

 

 

 

12.50

12.16

12.67

$100

 

 

 

 

 

 

 

■ ■ ■

$50

 

 

 

 

 

 

 

Electric kWh / Day

 

 

 

 

 

 

 

 

 

 

$0

-+-----'-r-"-------

"'r�---

'-r"-----'-r-"

-----'-r�---

'-r"-----'-r"----'-r�---

'--r"------'-r"------i

0.12

0.16

0.17

2018 8/07

9/06 10/04 11/06 12/06 1/08 2/06

3/07 4/08

5/09 6/06

7/10 8/07 2019-�c____<=----

=::,__---l

 

 

 

Electric

D

Gas

 

Gas Therms/ Day

Visit www.pge.com/MyEnergy for a detailed bill comparison

Important Messages

The Family Electric Rate Assistance (FERA) Program provides a monthly discount on electric bills for income-qualified households of three or more persons. To see if you qualify, please call 1-800-PGE-5000 or apply online at www.pge.com/fera.

El Programa FERA ofrece ahorros mensuales solo en las facturas de electricidad a hogares de ingresos econ6micos bajos y medianos con tres o mas personas. Para determinar si califica, por favor llame al 1-800-PGE-5000 o puede aplicar a traves de nuestra pagina web www.pge.com/fera.

Continued on page 6

Please return this portion with your payment. No staples or paper clips. Do not fold. Thank you.

®

Account Number:

Due Date:

Total Amount Due:

Amount Enclosed:

123456789-1

09/28/2019

$88.14

$

PG&E

BOX 997300

SACRAMENTO, CA 95899-7300

Page 1 of 6

ENERGY STATEMENT

Account No:

1234567890-1

Statement Date:

09/07/2019

www.pge.com/MyEnergy

Due Date:

09/28/2019

 

 

Important Phone Numbers - Monday-Friday 7 a.m.-9 p.m., Saturday 8 a.m.-6 p.m. Customer Service (All Languages; Relay Calls Accepted) 1-800-743-5000

TTY 7-1-1

Servicio al Cliente en Espanol (Spanish) -��.P�IHf (Chinese)

1-800-660-6789

Djch VI) khach tieng Vi�t (Vietnamese)

1-800-298-8438

1-800-893-9555

Business Customer Service

1-800-468-4743

Rules and rates

You may be eligible for a lower rate. To learn more about optional rates or view a complete list of rules and rates, visit www.pge.com or call 1-800-743-5000.

If you believe there is an error on your bill, please call 1-800-743-5000 to speak with a representative. If you are not satisfied with our response, contact the California Public Utilities Commission (CPUC), Consumer Affairs Branch (CAB), 505 Van Ness Avenue, Room 2003, San Francisco, CA 94102, 1-800-649-7570 or 7-1-1 (8:30 AM to 4:30 PM, Monday through Friday) or by visiting www.cpuc.ca.gov/complaints/.

To avoid having service turned off while you wait for the outcome of a complaint to the CPUC specifically regarding the accuracy of your bill, please contact CAB for assistance. If your case meets the eligibility criteria, CAB will provide you with instructions on how to mail a check or money order to be impounded pending resolution of your case. You must continue to pay your current charges while your complaint is under review to keep your service turned on.

If you are not able to pay your bill, call PG&E to discuss how we can help. You may qualify for reduced rates under PG&E's CARE program or other special programs and agencies may be available to assist you. You may qualify for PG&E's Energy Savings Assistance Program which is an energy efficiency program for income-qualified residential customers.

Important definitions

Rotating outage blocks are subject to change without advance notice due to operational conditions.

Tier 1/Baseline allowance: Some residential rates are given a Tier 1/Baseline allowance - a CPUC approved percentage of average customer usage during summer and winter months. Your Tier 1/Baseline allowance provides for basic needs at an affordable price and encourages conservation. Your allowance is assigned based on the climate where you live, the season and your heat source. As you use more energy, you pay more for usage. Any usage over your baseline allowance will be charged at a higher price.

High Usage: An increased price per kWh whenever electricity usage exceeds four times the Baseline Allowance (Tier 1) in a billing period. This charge does not apply to Time-of-Use rate plans.

DWR bond charge: Recovers the cost of bonds issued by the Department of Water Resources (DWR) to purchase power to serve electric customers during the California energy crisis. DWR bond charges are collected on behalf of DWR and do not belong to PG&E.

Power Charge Indifference Adjustment (PCIA): Ensures that non-exempt customers under PG&E's GT and ECR rate schedules or who purchase electricity (generation) from non-PG&E suppliers pay their share of generation costs.

Gas Public Purpose Program (PPP) Surcharge. Used to fund state-mandated gas assistance programs for low-income customers, energy efficiency programs, and public-interest research and development.

Visit www.pge.com/billexplanation for more definitions. To view most recent bill inserts including legal or mandated notices, visit www.pge.com/billinserts.

Your Electric Charges Breakdown

Conservation Incentive

-$9.50

Transmission

12.42

Distribution

35.08

Electric Public Purpose Programs

4.71

Nuclear Decommissioning

0.33

DWR Bond Charge

1.91

Competition Transition Charges (CTC)

0.42

Energy Cost Recovery Amount

-0.22

PCIA

10.26

Taxes and Other

0.25

Total Electric Charges

$55.66

"PG&E" refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. © 2019 Pacific Gas and Electric Company. All rights reserved. Please do not mark in box. For system use only.

Update My Information (English Only)

Please allow 1-2 billing cycles for changes to take effect

Account Number: 1234567890-1

Change my mailing address to: ________________

City _____________ State

ZIP code ____

Primary

Primary

 

Phone#--------- Email --------------

Ways To Pay

Online via web or mobile at www.pge.com/waystopay

By mail: Send your payment along with this payment stub in the envelope provided.

By debit card, Visa, MasterCard, American Express, or Discover: Call

877-704-8470 at any time. (Our independent service provider charges a fee per transaction.)

At a PG&E payment center or local office: To find a payment center or local office near you, please visit www.pge.com or call 800-743-5000. Please bring a copy of your bill with you.

Page 2 of 6

ENERGY STATEMENT

Details of PG&E Electric Delivery Charges

Service For: 12345 ENERGY CT

Service Agreement ID: 111111111

Rate Schedule: E1 X Residential Service

07/02/2019 - 07/31/2019 Your Tier Usagel�-1��-2

Tier 1 Allowance

297.00

kWh

(30 days x 9.9 kWh/day)

Tier 1 Usage

297.000000

kWh

@$0.22376

$66.46

Tier 2 Usage

83.000000

kWh

@$0.28159

23.37

Generation Credit

 

 

 

-44.68

Power Charge Indifference Adjustment

 

 

10.26

Franchise Fee Surcharge

 

 

 

0.25

Total PG&E Electric Delivery Charges

$55.66

Electric Usage This Period: 380.000000 kWh, 30 billing days

30kWh

 

 

 

 

----- =

Average Daily Usage 12.67 I

24

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

12

---------

------------�•--·--- - ------

----

--

- -

6

 

 

 

 

 

 

 

 

 

 

0

--+------"P.__.,.___.,._.,.__.,.___.,._.,.__.,.___.,._.,.__.,.__.,._.,.__.,.__.,._.,._.,.__.,._.,._.,.__.,._.,._.,.__.,._.,._.,.__.,._.,._.,.____.,.___,

 

7/2

7/5

7/8

7/11

7/14

7/17

7/20

7/23

7/26

7/29

Due Date:

09/28/2019

Service Information

1111111111

Meter#

Current Meter Reading

37,710

Prior Meter Reading

37,330

Total Usage

380.000000 kWh

Baseline Territory

X

Heat Source

B - Not Electric

Serial

G

Rotating Outage Block

50

Visit www.pge.com/MyEnergy for a detailed bill comparison.

Page 3 of 6

 

ENERGY STATEMENT

www.pge.com/MyEnergy

Details of Silicon Valley Clean Energy Electric Generation Charges

08/02/2019 - 08/31/2019 (30 billing days)

Service For: 12345 ENERGY CT

Service Agreement ID: 11111111

07/02/2019 - 07/31/2019

Rate Schedule:

E-1

$32.37

Generation - Total

380.000000 kWh @$0.08519

 

Net Charges 32.37

0. 11

Energy Commission Surcharge

Customers receive clean electricity and save money with SVCE. Please see updated

SVCE electric rates and comparisons to PG&E at www.svcleanenergy.com/rates

Total Silicon Valley Clean Energy

$32.48

Electric Generation Charges

Account No:

1234567890-1

Statement Date:

09/07/2019

Due Date:

09/28/2019

Service Information

 

Total Usage

380.000000 kWh

For questions regarding charges on this page, please contact:

SILICON VALLEY CLEAN ENERGY 1-844-474-7823 customerservice@SVCleanEnergy.org

Additional Messages

About Silicon Valley Clean Energy (SVCE) Serving 13 Santa Clara County communities, SVCE is a locally-controlled, public agency providing residents and businesses with electricity from renewable and hydroelectric sources.

Understanding SVCE Charges

PG&E continues to provide and bill for electric delivery. SVCE replaces PG&E generation charges. Under PG&E Electric Delivery Charges, note the Generation Credit. This is what PG&E would have charged for power, and now credits back to you. The Power Charge Indifference Adjustment and Franchise Fee are factored into SVCE rates. Learn more:

https://www.svcleanenergy.orgies/your-bi11/.

SVCE is committed to protecting customer privacy.

Learn about our privacy policy at www.svcleanenergy.org/customer-confidenti ality

Visit www.pge.com/MyEnergy for a detailed bill comparison.

Page 4 of 6

 

ENERGY STATEMENT

www.pge.com/MyEnergy

Details of Gas Charges

08/02/2019 - 08/31/2019 (30 billing days)

Service For: 12345 ENERGY CT

Service Agreement ID: 1111111111

Rate Schedule: G1 X Residential Service

07/02/2019 - 07/31/2019

Your Tier Usagel�-1��-2

 

 

 

 

 

Tier 1 Allowance

17.70 Therms (30 days x

0.59 Therms/day)

 

 

Tier 1 Usage

5.000000Therms @$ 1.28395

$6.42

Gas PPP Surcharge ($0.09047 /Therm)

0.45

Total Gas Charges

 

 

$6.87

Account No: 1234567890-1

Statement Date: 09/07/2019

Due Date: 09/28/2019

Service Information

Meter#

11111111

Current Meter Reading

2,588

Prior Meter Reading

2,583

Difference

5

Multiplier

1.031647

Total Usage

5.000000 Therms

Baseline Territory

X

Serial

G

Gas Procurement Costs ($/Therm)

07/02/2019 - 07/31/2019$0.28462

Gas Usage This Period: 5.000000 Therms, 30 billing days

Therms

 

 

 

 

 

= Average Daily Usage 0. 17 I

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

7/2

7/5

7/8

7/11

7/14

7/17

7/20

7/23

7/26

7/29

 

Visit www.pge.com/MyEnergy for a detailed bill comparison.

Page 5 of 6

 

ENERGY STATEMENT

Statement Date:

 

09/07/2019

 

Account No:

1234567890-1

www.pge.com/MyEnergy

Due Date:

09/28/2019

 

Important Messages (continued from page 1)

CARE Program. You may qualify for a monthly discount with the California Alternate Rates for Energy (CARE) Program. To find out more and apply online, visit www.pge.com/care.

Usted podría reunir los requisitos de un descuento mensual con el California Alternate Rates for Energy Program (CARE). Para obtener más información y hacer su solicitud en Internet, visite www.pge.com/espanol/care.

Electric power line safety PG&E cares about your safety. Be aware of your surroundings and keep yourself, tools, equipment and antennas at least 10 feet away from overhead power lines. If you see an electric power line fall to the ground, keep yourself and others away. Call 9-1-1.

Call 811 before you dig. A common cause of pipeline accidents is damage from digging. If you plan on doing any digging, such as planting a tree or installing a fence, please call 811 at least two working days before you dig. One free call will notify underground utilities to mark the location of underground lines, helping you to plan a safe project.

Visit www.pge.com/MyEnergy for a detailed bill comparison.

Page 6 of 6