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Get CT United Illuminating Company Physicians Certification Of Illness Form For UI Customers 2013-2024

Listed below is seriously ill or has a life threatening situation. See Conn. Agencies Regs. 16-3100. Please review the illness classifications listed below and select the one that best describes your patient s condition. Serious Illness: Life Threatening: My patient is seriously ill. However, not having gas or electric service will not endanger the life of my patient. The household is protected from a service shut-off for nonpayment between November 1st and May 1st. My patient ha.

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