Utility Bill Form

Utility Bill Form

The Utility Bill form is a document used by residents to provide proof of their utility services, such as electricity, water, or gas. This form is often required for various applications, including rental agreements and government assistance programs. Understanding how to fill out this form correctly can help ensure a smooth process when submitting important paperwork.

Access Utility Bill Here

The Utility Bill form serves as a crucial document for individuals and businesses alike, ensuring that the management of utility services runs smoothly. This form typically includes essential details such as the name and address of the account holder, the type of utility services being requested or managed—like electricity, water, or gas—and the account number associated with those services. Additionally, the form may require information about payment options, billing cycles, and any special instructions or requests related to the service. By providing a clear and organized way to communicate with utility providers, this form helps streamline the process of setting up, maintaining, or discontinuing utility services. Whether you are a new resident establishing services for the first time or a long-time customer making changes to your account, understanding the components of the Utility Bill form is vital for effective utility management.

Common Questions

What is the Utility Bill form?

The Utility Bill form is a document used to provide proof of residency or address verification. It typically includes information such as the name of the utility company, the account holder's name, the service address, and the billing period. This form is often required for various applications, including those for government assistance, housing, or identification purposes.

Who needs to fill out the Utility Bill form?

Individuals who need to verify their address for legal or administrative purposes may need to fill out the Utility Bill form. This includes tenants applying for rental agreements, individuals seeking government services, or anyone needing to confirm their residence for identification purposes.

What information is required on the Utility Bill form?

Typically, the Utility Bill form requires the following information: the name of the utility provider, the account holder's name, the service address, the billing date, and the amount due. In some cases, a signature may also be required to certify that the information is accurate.

How can I obtain a Utility Bill?

Utility bills can usually be obtained through your utility provider's website or customer service. Most companies offer online access to billing statements, where you can download or print your bill. If you do not have online access, you can contact the utility provider directly to request a physical copy of your bill.

Is there a fee for obtaining a Utility Bill?

Generally, utility providers do not charge a fee for issuing a standard utility bill. However, some companies may impose a fee for expedited processing or for providing a duplicate bill if you have lost the original. It is best to check with your specific utility provider for their policies.

Can I use a Utility Bill from a previous month?

In most cases, a current utility bill is preferred for address verification. However, some organizations may accept a bill from the previous month if it clearly displays your name and address. Always confirm with the requesting entity to ensure they accept older bills.

What should I do if my name is not on the Utility Bill?

If your name is not on the Utility Bill, you may need to provide additional documentation to verify your residency. This could include a lease agreement, a government-issued ID, or a notarized letter from the account holder stating that you reside at the address in question. Check with the organization requesting the documentation for their specific requirements.

How often should I submit a Utility Bill for verification?

The frequency of submitting a Utility Bill for verification depends on the requirements of the organization requesting it. Some may ask for updated bills every few months, while others may only require it once for a particular process. It is advisable to keep your utility bills organized and accessible for whenever they may be needed.

What if I notice an error on my Utility Bill?

If you find an error on your Utility Bill, it is important to contact your utility provider as soon as possible. They can assist you in correcting the mistake. Be prepared to provide any necessary documentation or information to support your claim. Prompt action can help resolve the issue quickly.

Key takeaways

When filling out and using the Utility Bill form, it’s essential to understand a few key points to ensure a smooth process. Here are some important takeaways:

  • Provide Accurate Information: Ensure that all the details you enter, such as your name, address, and account number, are correct. Mistakes can lead to delays or issues with your utility services.
  • Understand the Purpose: The Utility Bill form is typically used for verification purposes, whether you’re applying for a service, seeking financial assistance, or establishing residency.
  • Check Submission Guidelines: Different utilities may have specific requirements for submitting the form. Be sure to follow these guidelines closely to avoid complications.
  • Keep a Copy: After completing the form, make a copy for your records. This can be helpful in case you need to reference it later or if any issues arise.
  • Know the Deadlines: If the form is part of an application process, be aware of any deadlines. Submitting your form late can affect your services or eligibility for programs.
  • Contact Customer Service if Needed: If you have questions while filling out the form, don’t hesitate to reach out to customer service. They can provide guidance and clarify any uncertainties.

Form Properties

Fact Name Description
Purpose The Utility Bill form is used to provide proof of residency or address verification for various applications, such as government services or loans.
Common Requirements Typically, the form must include the account holder's name, service address, and billing period, along with a recent date.
State-Specific Forms Some states may have specific forms or requirements for utility bill submissions. For example, in California, the governing law is the California Civil Code § 1940.5.
Submission Methods Utility Bill forms can often be submitted electronically, by mail, or in person, depending on the organization requesting the document.
Importance of Accuracy Providing accurate information on the form is crucial, as discrepancies may lead to delays or denials in processing applications.

Misconceptions

Understanding the Utility Bill form is essential for anyone managing household expenses or seeking financial assistance. However, several misconceptions can lead to confusion. Here are four common misunderstandings:

  1. It’s only for low-income households.

    Many believe that the Utility Bill form is exclusively designed for low-income families. In reality, it can be used by anyone who needs to document their utility expenses, regardless of income level. This form is a useful tool for budgeting and financial planning.

  2. Filling it out is overly complicated.

    Some individuals shy away from the Utility Bill form, thinking it requires extensive paperwork or complex information. In truth, the form is straightforward and requires basic details about utility usage and costs. Taking a few minutes to gather the necessary information can simplify the process significantly.

  3. It’s only necessary during emergencies.

    Another common misconception is that the Utility Bill form is only relevant in times of crisis, such as when facing disconnection of services. However, regular use of the form can help individuals track their spending over time and identify patterns, making it a valuable resource for ongoing financial management.

  4. It has no impact on credit scores.

    Many people assume that utility bills do not affect their credit scores. While utility bills themselves may not directly influence credit, unpaid bills can lead to collections, which can negatively impact credit ratings. Keeping track of utility expenses through the form can help ensure timely payments and maintain a healthy credit profile.

By dispelling these misconceptions, individuals can better understand the Utility Bill form's purpose and benefits. This understanding can empower them to manage their finances more effectively.

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

Check out Other PDFs

Common mistakes

Filling out a Utility Bill form can seem straightforward, yet many individuals encounter common pitfalls that can lead to delays or issues with service. Below is a list of mistakes to avoid when completing this important document.

  1. Incomplete Information:

    Leaving sections blank can lead to processing delays. Ensure all required fields are filled out completely.

  2. Incorrect Account Numbers:

    Double-check the account number for accuracy. An incorrect number can result in payments not being applied to your account.

  3. Misunderstanding Billing Cycle:

    Be aware of your billing cycle dates. Submitting forms outside of this cycle may lead to confusion regarding payment deadlines.

  4. Failure to Sign:

    Omitting your signature can invalidate the form. Always remember to sign and date the document before submission.

  5. Ignoring Instructions:

    Each utility provider may have specific instructions. Read all guidelines carefully to avoid mistakes.

  6. Providing Outdated Contact Information:

    Ensure that your phone number and address are current. Outdated information can hinder communication regarding your account.

  7. Neglecting to Keep a Copy:

    Always retain a copy of the completed form for your records. This can be helpful in case of disputes or follow-up inquiries.

  8. Not Reviewing for Errors:

    Take the time to review the form before submission. Simple typographical errors can lead to significant issues.

  9. Failing to Submit on Time:

    Be mindful of submission deadlines. Late submissions may incur penalties or service interruptions.

By being aware of these common mistakes, individuals can ensure that their Utility Bill forms are filled out correctly and submitted in a timely manner. This attention to detail helps maintain a smooth relationship with utility providers and ensures that services continue without interruption.

Dos and Don'ts

When filling out a Utility Bill form, attention to detail is crucial. Here are some important guidelines to follow:

  • Do ensure that all personal information is accurate, including your name and address.
  • Do read the instructions carefully before starting to fill out the form.
  • Do double-check the account number to avoid any delays in processing.
  • Do submit the form by the specified deadline to prevent service interruptions.
  • Do keep a copy of the completed form for your records.
  • Don't leave any required fields blank, as this could lead to rejection of the form.
  • Don't use illegible handwriting; clarity is essential for processing.
  • Don't forget to sign the form if a signature is required.
  • Don't submit the form without reviewing it for errors or omissions.
  • Don't ignore any additional documentation that may be required.

Similar forms

The Utility Bill form is similar to the Lease Agreement. Both documents serve to establish a formal relationship between parties regarding the use of a property. A Lease Agreement outlines the terms of renting a property, including payment details, while a Utility Bill details the costs associated with services provided to that property. Each document requires accurate information about the parties involved and the specifics of the agreement, ensuring clarity and accountability in financial obligations.

An additional document that resembles the Utility Bill form is the Bank Statement. Like a Utility Bill, a Bank Statement provides a record of transactions and balances over a specific period. Both documents are essential for tracking expenses and managing finances. They help individuals and businesses monitor their spending and ensure that payments, such as utility services, are made on time. Each document must reflect accurate data to be useful for financial planning and budgeting.

A lease agreement is a formal contract that details the rental terms between a landlord and tenant. Similar to a utility bill, it provides proof of residence and outlines responsibilities. Both documents may include the name of the occupant, date, and address, which are essential for identity verification processes, such as applying for loans or government services. In certain circumstances, having legal authority over children's welfare, as granted through a Power of Attorney for Children, can also be crucial for parents who are managing diverse obligations.

Lastly, the Invoice is comparable to the Utility Bill form. An Invoice requests payment for services or products delivered, while a Utility Bill reflects the amount due for services used. Both documents contain essential details such as the service provider's name, the amount owed, and payment terms. They play a crucial role in financial management by helping individuals and businesses keep track of their expenses and ensuring timely payments to avoid penalties.