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Get Duke Energy Medical Alert Form
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How to fill out the Duke Energy Medical Alert Form online
The Duke Energy Medical Alert Form is essential for households with medical needs to ensure that electric service disconnection does not adversely affect the health of its members. This guide provides a clear, step-by-step approach to filling out the form online to enhance your safety and peace of mind.
Follow the steps to complete the Duke Energy Medical Alert Form online.
- Press the ‘Get Form’ button to obtain the Medical Alert Form and open it for editing.
- Fill in the required fields for your personal information, including your name, address, and account number.
- Provide details about any medical conditions present in your household that qualify for the Medical Alert program.
- If applicable, enter the information for a third party who can be notified in case of potential disconnection. Include their name and contact details.
- Review all the information you have entered to ensure accuracy.
- Submit the completed form as directed, ensuring it is accompanied by necessary documents or payments, if required.
- Save your changes, download a copy of the form for your records, or print it for submission.
Take action now and complete your Duke Energy Medical Alert Form online to ensure your household receives the care it needs.
You can sign up to receive outage alerts through one channel of your choice: text, voice message or email. For text or voice messages, you can select the phone number of your choice. For email, you can specify the email account you wish to receive these outage alerts.
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