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.
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.
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
$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:
Total Amount Due:
Amount Enclosed:
123456789-1
$
PG&E
BOX 997300
SACRAMENTO, CA 95899-7300
Page 1 of 6
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
"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
Phone#--------- Email --------------
•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
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
@$0.22376
$66.46
Tier 2 Usage
83.000000
@$0.28159
23.37
Generation Credit
-44.68
Power Charge Indifference Adjustment
Franchise Fee Surcharge
Total PG&E Electric Delivery Charges
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
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
Details of Silicon Valley Clean Energy Electric Generation Charges
08/02/2019 - 08/31/2019 (30 billing days)
Service Agreement ID: 11111111
07/02/2019 - 07/31/2019
Rate Schedule:
E-1
$32.37
Generation - Total
380.000000 kWh @$0.08519
Net Charges 32.37
0. 11
Energy Commission Surcharge
Customers receive clean electricity and save money with SVCE. Please see updated
SVCE electric rates and comparisons to PG&E at www.svcleanenergy.com/rates
Total Silicon Valley Clean Energy
Electric Generation Charges
For questions regarding charges on this page, please contact:
SILICON VALLEY CLEAN ENERGY 1-844-474-7823 customerservice@SVCleanEnergy.org
Additional Messages
About Silicon Valley Clean Energy (SVCE) Serving 13 Santa Clara County communities, SVCE is a locally-controlled, public agency providing residents and businesses with electricity from renewable and hydroelectric sources.
Understanding SVCE Charges
PG&E continues to provide and bill for electric delivery. SVCE replaces PG&E generation charges. Under PG&E Electric Delivery Charges, note the Generation Credit. This is what PG&E would have charged for power, and now credits back to you. The Power Charge Indifference Adjustment and Franchise Fee are factored into SVCE rates. Learn more:
https://www.svcleanenergy.orgies/your-bi11/.
SVCE is committed to protecting customer privacy.
Learn about our privacy policy at www.svcleanenergy.org/customer-confidenti ality
Page 4 of 6
Details of Gas Charges
Service Agreement ID: 1111111111
Rate Schedule: G1 X Residential Service
Your Tier Usagel�-1��-2�
17.70 Therms (30 days x
0.59 Therms/day)
5.000000Therms @$ 1.28395
$6.42
Gas PPP Surcharge ($0.09047 /Therm)
0.45
Total Gas Charges
$6.87
Account No: 1234567890-1
Statement Date: 09/07/2019
Due Date: 09/28/2019
11111111
2,588
2,583
Difference
5
Multiplier
1.031647
5.000000 Therms
Gas Procurement Costs ($/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
4
3
2
Page 5 of 6
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.
Page 6 of 6
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
When filling out and using the Utility Bill form, there are several important points to keep in mind.
Following these key points can help streamline the process and ensure successful handling of the Utility Bill form.
Form 1040 Schedule C - Consulting the IRS instructions for Schedule C can help clarify any uncertainties.
Controlled Substance Count Narcotic Count Sheet - A simple way to keep track of every resident's medications.