Get La Cleco Cs-545 2020-2025

The LA Cleco CS-545 form is designed for individuals who require critical care support and need to register with Cleco for special services. This guide provides a step-by-step approach to completing the form online, ensuring you provide all necessary information accurately.

Follow the steps to fill out the LA Cleco CS-545 form online effectively.

1. Click the ‘Get Form’ button to access the CS-545 form in your online editor.
2. Begin by entering your Cleco customer name in the designated field. If the critical care customer is different from you, provide their name in the following section.
3. Input the physical or 911 address where the critical care customer resides. Make sure this information is precise to avoid any issues.
4. Fill in the phone number associated with the critical care customer. This contact information is vital for Cleco to reach out if necessary.
5. Enter the 13-digit Cleco account number. This number identifies your account within Cleco's system.
6. In the following section, provide details of a third party whom Cleco can contact if you are unreachable. Include their name, phone number, and address.
7. Review the statement regarding the understanding of electric service interruptions. Acknowledge your understanding by checking the appropriate box.
8. Sign the form in the 'Customer Signature' section and note the date of signing.
9. In the 'Physician Verification' section, the physician must confirm the medical condition related to critical care. The physician should provide their name, phone number, sign, and date.
10. If you no longer require the critical care customer status, check the relevant box and complete the signature section.
11. Once all sections are completed, save your changes, download the form, and print it if needed. You can then share the form via email or postal mail to the provided addresses.

Complete the LA Cleco CS-545 form online today to ensure you receive the critical care services you need.