Fill in Your Utility Bill Template Get Document Here

Fill in Your Utility Bill Template

The Utility Bill form is a document used to provide proof of residency and utility service for various purposes, such as applying for loans or government assistance. This form typically includes details about the account holder, the utility provider, and the billing address. To ensure a smooth application process, it is essential to fill out the form accurately.

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Key takeaways

Here are some key takeaways regarding the Utility Bill form:

  • Ensure all required fields are completed accurately to avoid processing delays.
  • Keep a copy of the submitted form for your records.
  • Submit the form by the specified deadline to ensure timely service.
  • Contact customer service if you have questions about the form or the submission process.

Dos and Don'ts

When filling out a Utility Bill form, there are several best practices to keep in mind to ensure accuracy and efficiency. Below are some dos and don'ts to guide you through the process.

Things You Should Do:

  • Double-check your personal information, including your name and address, to ensure it is accurate.
  • Use clear and legible handwriting if filling out the form by hand.
  • Provide all required information, such as account numbers and service addresses, to avoid delays.
  • Review the form for any specific instructions or requirements before submission.
  • Keep a copy of the completed form for your records in case any issues arise.

Things You Shouldn't Do:

  • Do not leave any required fields blank, as this may result in processing delays.
  • Avoid using abbreviations or shorthand that could lead to confusion.
  • Do not submit the form without checking for errors or typos.
  • Refrain from providing outdated or incorrect account information.
  • Do not ignore deadlines for submission, as this may affect your service.

Form Overview

Fact Name Description
Purpose The Utility Bill form is used to request or provide information regarding utility services, such as water, electricity, and gas.
Common Information Required Typically, the form will ask for the name of the account holder, service address, and account number.
State-Specific Forms Some states have their own versions of the Utility Bill form, governed by local utility regulations.
Governing Laws In California, for example, the form is governed by the California Public Utilities Code.
Submission Methods Utility Bill forms can often be submitted online, by mail, or in person at utility company offices.
Importance for Identity Verification Utility bills are commonly used as proof of residence for various legal and administrative purposes.
Frequency of Use Individuals may need to fill out this form multiple times, especially when moving or changing service providers.

Common mistakes

  1. Incorrect Account Number: Many individuals enter the wrong account number. Double-checking this information is crucial to ensure proper billing.

  2. Missing Personal Information: Failing to include necessary personal details, such as the name and address, can lead to delays in processing.

  3. Improper Date Format: Using the wrong date format can cause confusion. Ensure that the date is filled out in the format specified on the form.

  4. Not Signing the Form: Some people forget to sign the form. A missing signature can result in the form being rejected.

  5. Inaccurate Payment Amount: Entering the wrong payment amount is a common error. Always verify the total before submitting.

  6. Ignoring Additional Instructions: Skipping over any specific instructions provided on the form can lead to mistakes. Read all guidelines carefully.

Similar forms

The Utility Bill form shares similarities with a Lease Agreement. Both documents serve as proof of residence and financial responsibility. A Lease Agreement outlines the terms under which a tenant occupies a rental property, including rent payment details. Similarly, a Utility Bill reflects the monthly charges for services such as water, electricity, or gas, establishing a connection between the individual and their residence. Both documents are often required for identity verification or when applying for services that require proof of address.

In addition to various forms such as Utility Bills and Bank Statements, understanding the implications of important legal documents like a Power of Attorney is crucial. This form empowers one individual to make decisions for another, ensuring that personal wishes are upheld when necessary. For those interested in acquiring this form, resources like NY PDF Forms can provide the necessary documentation and guidance.

Another document that resembles the Utility Bill form is a Bank Statement. Like a Utility Bill, a Bank Statement provides evidence of financial transactions and stability. It lists account activity, including deposits and withdrawals, and can confirm an individual's address when it displays the same name and address as the Utility Bill. Both documents are frequently used in applications for loans or credit, as they help establish a person's financial standing and residency.

The Pay Stub is another document similar to the Utility Bill. It serves as proof of income, detailing earnings and deductions over a specific pay period. Just as a Utility Bill indicates regular financial obligations, a Pay Stub shows consistent income, which is essential for financial assessments. Both documents may be required when applying for loans or housing, helping to paint a complete picture of an individual's financial situation.

A Mortgage Statement also shares characteristics with the Utility Bill. This document outlines the details of a mortgage, including the amount owed, payment history, and property address. Like a Utility Bill, it serves as proof of residence and financial responsibility. Homeowners often need to present both documents when seeking financial assistance or refinancing options, as they demonstrate ongoing financial commitments related to the property.

Similar to the Utility Bill is the Insurance Policy Declaration Page. This document summarizes the coverage provided by an insurance policy, including the insured's name and address. Both documents confirm residency and financial obligations. When applying for loans or rental agreements, individuals may need to present both to verify their identity and address, showcasing their commitment to maintaining financial responsibilities.

Lastly, a Tax Return can be compared to the Utility Bill. Tax Returns detail an individual's income and financial activities over a year, providing a comprehensive view of their financial situation. Like a Utility Bill, it often includes the individual's name and address, serving as proof of residency. Both documents are commonly required for various applications, including loans and housing, as they help establish credibility and financial stability.

Other PDF Forms

Your Questions, Answered

What is the Utility Bill form used for?

The Utility Bill form is designed to assist individuals and businesses in documenting their utility expenses. This form can be used for various purposes, such as applying for financial assistance, verifying residency, or providing proof of address. Utility bills typically include charges for services like electricity, water, gas, and internet, making them essential for various administrative processes.

How do I fill out the Utility Bill form?

Filling out the Utility Bill form is straightforward. Follow these steps:

  1. Gather your recent utility bills. Ensure they are current and clearly display your name and address.
  2. Enter your personal information, including your name, address, and contact details.
  3. List the utility providers and the corresponding account numbers.
  4. Attach copies of the utility bills to the form, ensuring that all necessary information is visible.
  5. Review the completed form for accuracy before submission.

Where do I submit the Utility Bill form?

The submission process for the Utility Bill form varies depending on its intended use. Generally, you can submit the form to:

  • Your local government office if applying for assistance programs.
  • Landlords or property managers when verifying residency.
  • Financial institutions if required for loan applications.

Always check with the specific organization for their preferred submission method, whether it be in person, by mail, or online.

What should I do if I cannot find my utility bill?

If you cannot locate your utility bill, there are several options available:

  • Contact your utility provider directly. They can often provide a duplicate bill or access your account online.
  • Check your email if you receive electronic statements. Many providers send bills via email.
  • Log into your utility provider's website. Most companies allow customers to view and download past bills from their online accounts.

Taking these steps can help you obtain the necessary documentation without significant delays.

Form 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