Get Safety For Special Customers - Con Edison

Filling out the SAFETY FOR SPECIAL CUSTOMERS form is an essential step for people who rely on life-sustaining equipment or face medical hardships. This guide provides clear instructions to help you accurately complete the online form, ensuring that Con Edison is aware of your needs in case of an emergency.

Follow the steps to fill out the form successfully.

1. Use the ‘Get Form’ button to access and open the SAFETY FOR SPECIAL CUSTOMERS form in your preferred online editor.
2. Begin by entering your full name in the designated field. Make sure to type clearly to avoid any errors.
3. Fill in your complete address, including city, state, and zip code. Double-check your information for accuracy.
4. Provide your phone number in the appropriate section. This contact information will be vital during emergencies.
5. If applicable, enter your Con Edison account number. This will help streamline your records with the utility provider.
6. Indicate the type of residence you live in by selecting either 'Private house' or 'Apartment'. Include any additional information about your superintendent if applicable.
7. If you rent, specify whether the electric service payment is included in your rent by checking 'Yes' or 'No'.
8. Provide the name and contact information of your doctor or hospital, ensuring all details are accurate.
9. Next, if you use life-sustaining equipment, check the appropriate boxes corresponding to the types of equipment you use. Be precise in selecting the types listed.
10. Fill in the frequency of equipment use, detailing how many times per week and hours per day you utilize the equipment.
11. Indicate whether the equipment is used during sleeping hours by selecting 'Yes' or 'No'. If 'Yes', specify how frequently.
12. If you do not use life-sustaining equipment but have a medical hardship, make sure to check the applicable box.
13. After completing all the fields, review your responses for accuracy and completeness.
14. Save your changes, and then you can download, print, or share the completed form as needed.

Complete the SAFETY FOR SPECIAL CUSTOMERS form online to ensure your safety needs are recognized by Con Edison.