Get IL Chicago Heating Cost Disclosure Form

CHICAGO HEATING COST DISCLOSURE FORM SELECT ONLY ONE UTILITY GAS HEAT ELECTRIC HEAT Mail Request to PEOPLES GAS Attn Energy Disclosure Customer Care Unit 130 E. Randolph 16th Floor Chicago IL 60601 Phone 866. 556. 6001 Fax 312. 240. 3991 COMMONWEALTH EDISON Attn Central Handling Group 2100 Swift Drive Oak Brook IL 60523 Phone 800. 334. 7661 Fax 630. 684. 2692 NOTE Separate applications are required for Gas and Electric Heat. Please check the appropriate box above. Mail or fax the completed form to the appropriate utility company as indidcated above. This application is provided to you to send to the utility companies. Please do not mail to the Department of Business Affairs and Consumer Protection* Please Indicate Owner or Realtor Owner/Realtor Mailing Address City State Zip Code Name of Occupant LIST ADDRESS AND APARTMENT NUMBER OF DWELLING UNIT NOTE If dwelling has multiple addresses or is a corner building list each address separately and the first and last apartment number at the bottom* Example 111 E* 1st Street 113 E* 1st Street ADDRESS Apt. 101 - 328 Apt. 329 - 528 APARTMENT NUMBERS Knowing that there are legal penalties for making a false claim of ownership or agency I hereby certify that I am the owner/agent for the property in question and I hereby request disclosure of the projected annual average monthly cost of electricity or gas which provides the only source of heat for the above-described dwelling units. Date of Request Signature Form Provided by City of Chicago cityofchicago. org/bacp BACP BUSINESS AFFAIRS CONSUMER PROTECTION. 556. 6001 Fax 312. 240. 3991 COMMONWEALTH EDISON Attn Central Handling Group 2100 Swift Drive Oak Brook IL 60523 Phone 800. 334. 7661 Fax 630. 684. 2692 NOTE Separate applications are required for Gas and Electric Heat. Please check the appropriate box above. 334. 7661 Fax 630. 684. 2692 NOTE Separate applications are required for Gas and Electric Heat. Please check the appropriate box above. Mail or fax the completed form to the appropriate utility company as indidcated above. This application is provided to you to send to the utility companies. Mail or fax the completed form to the appropriate utility company as indidcated above. This application is provided to you to send to the utility companies. Please do not mail to the Department of Business Affairs and Consumer Protection* Please Indicate Owner or Realtor Owner/Realtor Mailing Address City State Zip Code Name of Occupant LIST ADDRESS AND APARTMENT NUMBER OF DWELLING UNIT NOTE If dwelling has multiple addresses or is a corner building list each address separately and the first and last apartment number at the bottom* Example 111 E* 1st Street 113 E* 1st Street ADDRESS Apt. Please do not mail to the Department of Business Affairs and Consumer Protection* Please Indicate Owner or Realtor Owner/Realtor Mailing Address City State Zip Code Name of Occupant LIST ADDRESS AND APARTMENT NUMBER OF DWELLING UNIT NOTE If dwelling has multiple addresses or is a corner building list each address separately and the first and last apartment number at the bottom* Example 111 E* 1st Street 113 E* 1st Street ADDRESS Apt. 101 - 328 Apt. 329 - 528 APARTMENT NUMBERS Knowing that there are legal penalties for making a false claim of ownership or agency I hereby certify that I am the owner/agent for the property in question and I hereby request disclosure of the projected annual average monthly cost of electricity or gas which provides the only source of heat for the above-described dwelling units. .