Get Ny Pseg Long Island 23003 2017-2025

Filling out the NY PSEG Long Island 23003 form is a simple process that can help eligible residential customers receive reduced rates on their utility bills. This guide will walk you through each section of the form to ensure that all necessary information is accurately provided.

Follow the steps to successfully complete the application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter the account holder's last and first name in the designated fields.
3. Provide your street address and apartment number if applicable. Then, fill in your city, state (NY), and ZIP code.
4. Enter your telephone number in the appropriate field to ensure contact is possible.
5. Input your PSEG Long Island customer ID or account number. This is important for linking your application with your account.
6. Provide the last four digits of your Social Security number to verify your identity.
7. Check the box next to the assistance program(s) you are currently receiving, such as Medicaid, SNAP, or HEAP. Ensure you select all that apply.
8. Attach a photocopy of required documentation in the space indicated, ensuring it is one of the accepted forms like a benefit identification card or approval letters.
9. In the certification section, review the declaration about the accuracy of your information and understand that PSEG Long Island may contact relevant agencies for verification.
10. Sign and date the form at the bottom to complete your application.
11. Finally, save your changes, download the completed form, print it, or share it as needed for submission.

Complete your application for assistance today by filling out the NY PSEG Long Island 23003 form online.