Get Utility Bill Form

Get Utility Bill Form

The Utility Bill form is a document that households and businesses use to report their utility expenses or to apply for utility services. Accurate completion of this form ensures that providers can assess usage and billing correctly. To get started and fill out the form, please click the button below.

Outline

The Utility Bill form serves as an essential document for individuals and businesses managing their utility accounts, offering a comprehensive record of consumption, payment history, and the charges incurred for services such as electricity, water, and gas. This form typically includes various key pieces of information, including the account holder's name, service address, meter readings, billing period, and total amount due. Additionally, it may outline specific payment options and deadlines, helping users to plan their finances effectively. Understanding the details contained within the Utility Bill form can empower residents to monitor their utility usage, identify potential discrepancies, and explore assistance programs if financial distress arises. Those who are familiar with the Utility Bill form are better equipped to engage with their service providers, ensuring that their rights as consumers are upheld while effectively managing their utility expenses.

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

Document Data

Fact Name Details
Purpose The Utility Bill form is used to provide proof of residency and utility payments for various applications, such as loan approvals and government services.
Required Information The form typically requires the account holder's name, address, utility company, account number, and billing period.
State-Specific Law In California, the form must comply with the Civil Code Section 1940.9, which outlines specific disclosure requirements for utility bills.
Submission Process The completed Utility Bill form is usually submitted along with other required documents during an application process.

How to Use Utility Bill

Once you have gathered your utility bill form and supporting documents, you are ready to proceed with filling it out. Each section of the form is crucial, so be sure to enter your information accurately to avoid any delays in processing.

  1. Begin with your personal information. Fill in your name, address, and contact number in the designated fields.
  2. Locate the section for the utility company’s information. Enter the name of the utility provider and their customer service contact details.
  3. In the next field, input your account number as it appears on the utility bill.
  4. Provide the date by which the utility bill was issued. This can typically be found at the top of the bill.
  5. Fill out the amount due, ensuring that you record the correct figures from the bill.
  6. Complete any additional required fields, including payment method preferences and any relevant comments.
  7. Review all your entries for accuracy before signing and dating the form at the bottom.

With this form accurately completed, you are now prepared to submit it. Ensure you attach any necessary documents and keep a copy for your records. Prompt submission will facilitate timely processing of your utility bill request.

Key Facts about Utility Bill

What is a Utility Bill form?

A Utility Bill form is a document used to record and provide proof of utility expenses. Common utilities include electricity, gas, water, and internet services. This form typically details the amount owed, services used, and payment due dates. It can be beneficial for various situations, such as when applying for loans or housing, as it helps verify residency and financial responsibilities.

Why do I need to provide a Utility Bill form?

Providing a Utility Bill form may be necessary for different reasons. Common scenarios include applying for a rental property, verifying your identity, or establishing your address for government services. Landlords, financial institutions, and other organizations often require such proof to confirm your residency and assess your ability to manage your financial obligations.

How do I obtain my Utility Bill?

You can typically obtain your Utility Bill online, through your utility provider’s website. Most companies give customers access to their billing statements via an online account. If you prefer a paper bill, you can request one by contacting your utility provider directly. Remember that some companies may offer the option to receive electronic billing statements instead.

What information is included on a Utility Bill?

A Utility Bill generally includes essential details such as your account number, billing period, usage statistics, and the total amount due. It may also list previous balances, payment due dates, and information on overdue payments. Checking this information regularly ensures you stay informed about your utility expenses and can help prevent late fees.

Are there any fees associated with issuing a Utility Bill?

Most utility providers do not charge fees for issuing standard bills, whether paper or electronic. However, if you require a detailed statement or if you need billing history for an extended period, some companies may impose a nominal fee. Always confirm with your specific utility provider if concerns about fees arise.

What should I do if my Utility Bill is incorrect?

If you notice discrepancies on your Utility Bill, it is essential to address them promptly. Contact your utility provider’s customer service department to discuss the issue. Having relevant details, such as account numbers and billing periods ready, will help facilitate resolution. The provider should guide you through the process of correcting any errors and provide clarity on any charges you question.

Common mistakes

When completing a Utility Bill form, individuals often make several common mistakes that can lead to processing delays or incorrect billing. One frequent error is providing inaccurate account information. For example, entering the wrong utility account number can cause significant delays in payment processing or even result in disconnect notices.

Another mistake occurs when individuals fail to include all required documentation. Some forms require proof of identity or residency, such as a driver's license or lease agreement. Omitting these documents can hinder the processing of the application and may lead to further complications.

Additionally, many people neglect to double-check for correct payment information. This includes verifying credit card numbers or bank information. Errors in these sections can lead to rejected payments, which may result in additional fees or disconnection of utilities.

Lastly, individuals sometimes do not pay sufficient attention to deadlines for submission. Missing a due date can lead to late fees or increased charges. It is important to be aware of the timeline for each utility provider to avoid unnecessary penalties.

Documents used along the form

When managing utilities or applying for services, various documents are often required in addition to the Utility Bill form. Understanding these documents can simplify the process and ensure compliance with requirements.

  • Identification Document: This is typically a driver's license or passport. It verifies the identity of the individual applying for services.
  • Proof of Residency: This can be a lease agreement or a mortgage statement. It establishes the applicant's current address and residence status.
  • Income Verification: Pay stubs or tax returns serve as proof of income. This information is often needed for assistance programs or discounts.
  • Application Form: This document captures essential details about the service being requested. It may include personal information and specific utility requirements.
  • Deposit Agreement: In many cases, a new service may require a deposit. This document outlines the terms of the deposit and its return conditions.
  • Service Agreement: This contractual document details the obligations of both the utility provider and the customer, including service fees and payment deadlines.
  • Authorization Form: If a third party is managing the account, an authorization form must be filled out. It gives permission for someone else to handle utility matters on your behalf.
  • Disconnection Notice: A notice from the utility provider regarding pending disconnection. This informs the customer of overdue payments and possible actions required to avoid service interruption.

Having these documents prepared can facilitate a smoother interaction with utility providers. Ensure that all information is accurate to avoid delays in service or applications.

Similar forms

  • Lease Agreement: Like a utility bill, a lease agreement confirms a financial transaction and provides information on the rental property, including the address and the names of the parties involved.
  • Bank Statement: A bank statement, similar to a utility bill, shows account activity over a specific period, detailing deposits and withdrawals, which helps in verifying financial status.
  • Pay Stub: A pay stub reflects earnings for a specific pay period, much like a utility bill shows regular payments, both serving as proof of income and financial responsibility.
  • Credit Card Statement: This document summarizes monthly transactions on a credit card account. It parallels a utility bill in that both provide detailed transaction information and payment obligations.
  • Insurance Bill: An insurance bill outlines charges for policy coverage, much like a utility bill indicates usage fees, confirming the ongoing financial relationship between the provider and the consumer.

Dos and Don'ts

When filling out a Utility Bill form, it’s essential to pay attention to the details for smooth processing. Here’s a list of things to keep in mind:

  • Do: Make sure to enter your name exactly as it appears on your account.
  • Do: Provide your current address, including any apartment or unit number.
  • Do: Verify that the account number is correct and formatted accurately.
  • Do: Double-check the billing period to avoid any discrepancies.
  • Do: Sign and date the form where required.
  • Don’t: Skip any fields; ensure all required information is filled out.
  • Don’t: Use abbreviations not recognized by the utility company.
  • Don’t: Submit the form without reviewing it for errors.
  • Don’t: Forget to keep a copy for your records.

Misconceptions

Understanding the Utility Bill form is critical for managing your expenses, but there are several misconceptions that can lead to confusion. Here are nine common myths about the Utility Bill form, each explained for clearer understanding.

  1. Only homeowners need a Utility Bill form. Many renters also receive utility bills. Regardless of ownership, if you consume electricity, gas, or water, you may need a Utility Bill form.
  2. A Utility Bill form is only needed once. This form is often required for each billing cycle. Regular updates help maintain accurate records of usage and payment history.
  3. Utility bills are always the same amount. Utility bills can fluctuate monthly based on your usage. Factors such as seasons, lifestyle changes, and appliance efficiency can affect costs.
  4. You can't contest a charge on your Utility Bill. If you find an error or dispute a charge, you have the right to contest it. Contact your utility provider with evidence to initiate the investigation.
  5. Utility Bill forms are only for current accounts. Historical bills are often necessary for various reasons, such as applying for loans or rental applications. Keep past bills for reference.
  6. Utility Bills are not important for budgeting. These bills are essential for personal budgeting. Tracking your usage can help manage finances and identify ways to save.
  7. The Utility Bill form is straightforward and doesn’t require attention. Mistakes happen. It's crucial to read through the entire bill carefully to avoid missing important information or deadlines.
  8. You cannot set up automatic payments using the Utility Bill form. Most utility companies offer automatic payment options that can simplify your billing process, provided you fill out the necessary sections.
  9. All utility companies use the same format for their bills. Different utility providers may have unique layouts and required information. Always familiarize yourself with your specific provider's format.

By addressing these misconceptions, you can better manage your utility bills and make informed decisions regarding your energy consumption and expenses.

Key takeaways

Filling out the Utility Bill form can seem daunting at first, but understanding a few key points can make the process smoother. Here are important takeaways to keep in mind:

  • Gather Necessary Information: Before you begin, ensure you have your utility account details, recent bill, and personal identification ready.
  • Complete All Sections: Take the time to fill out every section of the form. Incomplete forms may lead to delays in processing.
  • Double-Check Your Details: Mistakes can happen. A quick review can prevent issues related to wrong account numbers or missing information.
  • Submit on Time: Pay attention to deadlines. Late submissions may result in penalties or service interruptions.
  • Understand the Payment Options: Familiarize yourself with the different payment methods available, such as online payments, checks, or automatic withdrawals.
  • Keep Copies: Always make copies of the form for your records. It’s useful to have documentation in case of any discrepancies.
  • Contact Customer Service if Needed: Never hesitate to reach out if you have questions. Customer service representatives can clarify any uncertainties you may have.

By keeping these key points in mind, you will not only navigate the Utility Bill form efficiently but also ensure you stay on top of your utility payments.