Utility Bill Template

Utility Bill Template

The Utility Bill form is a document that serves as proof of residence and helps establish eligibility for various services and programs. It typically includes essential information such as the account holder's name, service address, and billing details. To get started, fill out the form by clicking the button below.

Content Overview

Utility bills are a common aspect of everyday life, reflecting the cost of essential services such as water, electricity, and gas. Understanding the importance of accurately managing utility bill documentation can help individuals and businesses maintain financial records, ensure timely payments, and provide proof of residency when required. The utility bill form serves as a vital tool in tracking these expenses, facilitating payment arrangements, and enabling users to request assistance or adjustments from service providers. Typically, the form requires specific details such as the account holder's name, the service address, and the billing period, along with a concise breakdown of charges. Mastery of this form can lead to better budgeting and enhanced communication with utility companies, ultimately making it easier to navigate the complexities associated with utility services.

Utility Bill Sample

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

Document Attributes

Fact Name Description
Purpose The Utility Bill form is used to document expenses and payments for services such as water, electricity, and gas.
Eligibility Typically, any residential or commercial property paying for utilities can use this form to track their bills.
Frequency Utility bills are usually issued monthly, although some providers may have different billing cycles.
Information Required Users must provide details such as account number, billing period, service address, and the amount due.
Payment Methods Payments can often be made online, via mail, or in person, depending on the utility provider’s options.
State-Specific Forms Some states have specific requirements for utility bills; for instance, California's Public Utilities Code governs utility billing practices.
Record Keeping It's advisable to keep copies of utility bills for at least one year for personal records and potential tax purposes.
Late Fees Many utility companies charge late fees; failing to pay by the due date may result in additional charges.
Dispute Resolution If there are discrepancies in the utility bill, customers should contact the utility company promptly to resolve the issue.

Utility Bill: Usage Instruction

Filling out the Utility Bill form is a straightforward process that streamlines your billing needs. Before getting started, ensure you have all the necessary information at hand to accurately complete the form. Here are the steps to guide you through the process.

  1. Obtain the Form: Access a physical copy of the Utility Bill form or visit the designated website to download it.
  2. Fill in Personal Information: Start by entering your full name, current address, and contact information in the appropriate sections.
  3. Account Information: Provide your utility account number, if applicable. This number usually appears on your previous bills.
  4. Billing Period: Specify the billing period for which you are submitting the form, including start and end dates.
  5. Payment Details: Indicate the amount you are paying, including any additional fees or adjustments that apply.
  6. Method of Payment: Choose your payment method by checking the corresponding box, whether it's through debit, credit, or check.
  7. Review Your Information: Carefully review all the information provided for accuracy and completeness.
  8. Sign and Date the Form: Sign the form to certify that all information is true and accurate. Don’t forget to include the date.
  9. Submit the Form: Submit the completed form according to the instructions provided, be it online, by mail, or in-person.

Frequently Asked Questions

  1. What is the Utility Bill form?

    The Utility Bill form is a document used by various organizations, such as government agencies or service providers, to verify a person's residence or to assess eligibility for services. Often, utility bills serve as proof of address because they contain the name and address of the account holder along with service details.

  2. Why do I need to submit a Utility Bill form?

    Submitting a Utility Bill form may be necessary for multiple reasons. For example, you might need it to prove your residency when applying for a driver's license, to qualify for certain assistance programs, or even to set up new services. Organizations require this documentation to validate your identity and determine eligibility.

  3. What information will I need to provide on the Utility Bill form?

    When filling out the Utility Bill form, typically, you must provide your name, address, and account number. You may also need to submit the date of the bill or confirm the specific utility services you are using. Accuracy is crucial, as any discrepancies may delay the processing of your request.

  4. How recent does the Utility Bill need to be?

    Most organizations require the Utility Bill to be recent, generally within the last 30 to 90 days. This requirement ensures that the information is up to date and truly reflects your current residency status. Always check the specific guidelines of the entity requesting the form to ensure compliance.

  5. What should I do if I don’t have a Utility Bill?

    If you don’t have a utility bill in your name, there are alternative options. You can often provide other documents that prove your address, such as a lease agreement, bank statement, or government-issued ID. It's best to contact the organization requesting the Utility Bill form to discuss acceptable alternatives and get guidance on what you can submit instead.

Common mistakes

Filling out a Utility Bill form is a straightforward process, but many individuals often make common mistakes that can delay service or even lead to incorrect billing. One frequent error occurs when personal information is incomplete. This includes forgetting to provide full names, addresses, or contact details. It may seem minor, but utility providers rely on this information to correctly identify accounts and customers.

Another mistake is incorrect account numbers. When applicants input the wrong account number or transpose numbers, the application may not link properly to the intended service account. Double-checking the account number before submission can help prevent these complications. Such errors might seem unimportant, yet they can create significant hurdles in establishing or maintaining utility services.

Some individuals overlook defining the type of service they require. Different utilities provide various services, such as electricity, water, or gas. Omitting this detail results in confusion and delays. It’s crucial to ensure understanding of what services you are applying for, as each may have distinct requirements in the application process.

Providing inaccurate dates can also complicate the application. Relevant dates could include the date of move-in or when service should begin. Entering incorrect or unrealistic dates may lead to service disruptions or billing issues, which are often avoidable with careful attention.

In addition to incorrect dates, missing signatures or initials is a common oversight. Without the proper signature, applications cannot be processed. This requirement ensures that the applicant grants permission for the utility provider to access necessary information for service setup. Always review your form for completion before submission.

Another critical mistake involves overlooking payment options. Some may neglect to specify how they wish to pay their bill (either automatically or manually). Clarity on payment preferences helps establish a smooth relationship between the customer and the utility provider from the outset.

Finally, some individuals do not keep a copy of the completed form. This may seem trivial, but retaining a duplicate provides a reference if there are questions or issues with the application later. It can significantly simplify any communication with the utility provider. Awareness of these common errors, along with due diligence, can ensure a smooth application process for utility services.

Documents used along the form

The Utility Bill form is often used in various situations where proof of residence or utility expenses is required. Alongside this form, several other documents may be necessary to provide context or additional verification. Below is a list of other common forms and documents that can complement the Utility Bill form.

  • Identification Documents: Items such as a driver's license or government-issued ID serve to verify your identity. This confirms that the name on the utility bill matches the individual submitting the bill.
  • Proof of Residency: This may include a lease agreement, mortgage statement, or similar document that establishes your current address. It offers additional evidence supporting your claim of residence.
  • Bank Statements: Recent bank statements can also function as proof of residence. They typically show your name and address, reinforcing the information on the utility bill.
  • Employment Verification Letter: A letter from your employer may include your name and address. This can be useful in confirming residency as part of a broader verification process.
  • Tax Returns: Recent tax documents provide comprehensive information about your address and financial situation. They can serve as further proof when submitting a utility bill.

Gathering these documents alongside the Utility Bill form ensures a smooth verification process. Having everything together can help expedite any application or request requiring confirmation of residency or utility use.

Similar forms

The Utility Bill form serves an important role in verifying a person’s identity and residence. It shares similarities with several other key documents that often provide proof of a residential address or financial obligation. Below is a list of nine documents that are comparable to the Utility Bill form, along with explanations of their similarities.

  • Lease Agreement: This document outlines rental terms and provides the tenant’s name and address, similar to how a utility bill shows the account holder’s details and billing address.
  • Bank Statement: Much like a utility bill, a bank statement includes the account holder’s name and address, reinforcing identity verification for various transactions.
  • Government-Issued ID: ID cards often list a current address, similar to a utility bill. Both are used to confirm the identity and residence of an individual.
  • Insurance Policy Document: These documents include essential information like the policyholder’s name and address, akin to the information found on a utility bill.
  • Credit Card Statement: A credit card statement provides account holder details and billing address, serving as another means to verify identity in the same way as a utility bill.
  • Mortgage Statement: This document shows the owner’s name and property address, paralleling the address verification function of a utility bill.
  • Tax Document: Tax returns often include a taxpayer’s address and can be used for residency verification, similar to the way a utility bill is utilized.
  • Pay Stub: A pay stub contains the employee's name and address, offering another layer of proof of residence like a utility bill provides.
  • Voter Registration Card: This card includes the registered voter’s name and address, helping to confirm residency in a similar way to the utility bill.

Each of these documents serves a distinct purpose, but they collectively reinforce the identity verification process by establishing a person’s connection to a specific address.

Dos and Don'ts

When filling out a utility bill form, it's essential to follow some guidelines to ensure accuracy and efficiency. Here is a list of things you should and shouldn't do.

  • Do: Read all instructions carefully before starting.
  • Do: Provide accurate information. Double-check your entries.
  • Do: Use clear and legible handwriting if filling it out by hand.
  • Do: Include your account number to avoid any delays.
  • Don't: Leave any required fields blank.
  • Don't: Use abbreviations unless specified in the instructions.
  • Don't: Submit the form without reviewing it for errors.

Misconceptions

Understanding utility bills can be confusing for many. There are several misconceptions that often circulate, leading to misunderstandings about what utility bill forms entail and how they function. Here’s a breakdown of six common misconceptions to clarify some of the confusion.

  1. All utility bills are the same. Many people think that utility bills have a standard format across the board. However, each utility provider has its own way of presenting information, which means that the layout and details can vary widely.
  2. Utility bills only show current charges. It’s a common belief that these bills only reflect current usage. In reality, they can also include past due amounts, fees, and adjustments that they apply to your account based on previous billing cycles.
  3. I can’t dispute a charge on my utility bill. Many assume that once a bill arrives, it’s set in stone. This is not true. You have the right to question any charges you believe are incorrect. Providers often have a customer service line specifically for disputes.
  4. Paying on time is the only way to avoid late fees. While late payments can lead to fees, some providers may offer grace periods or programs that can prevent such charges. Understanding the policies of your utility provider can help you manage your billing effectively.
  5. Utility bills are only important for payment. Some assume their only role is to facilitate payment. In truth, utility bills are also crucial for monitoring energy usage trends, understanding your consumption patterns, and planning your budget.
  6. Signing up for autopay means losing track of my bills. Many believe that enrolling in autopay will result in forgetting about their utility charges entirely. However, it's still wise to review your statements regularly to ensure accuracy and catch any unusual charges.

By clearing up these misconceptions, individuals can approach their utility bills with greater confidence and understanding. It’s always beneficial to stay informed and aware of your rights and responsibilities as a consumer.

Key takeaways

When filling out and using the Utility Bill form, there are several important points to keep in mind.

  • Accurate Information: Ensure that all information is accurate and up-to-date. Any errors can lead to delays in processing.
  • Supporting Documents: Attach any necessary supporting documents to help verify the information provided in the form.
  • Submission Method: Be aware of the preferred submission methods. You may have options like online submission, mailing, or in-person delivery.
  • Deadlines: Check if there are any deadlines associated with submitting the form to avoid late fees or disruptions in service.
  • Keep Copies: Always keep a copy of the completed form and any submitted documents for your records. This can be useful for future reference.

Following these key points can help streamline the process and ensure successful handling of the Utility Bill form.

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