Get Pa Pgw Form 10-69-4798
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How to fill out the PA PGW Form 10-69-4798 online
The PA PGW Form 10-69-4798 is essential for individuals seeking to enroll in the Customer Responsibility Program offered by the Philadelphia Gas Works. This guide provides clear and comprehensive instructions on how to accurately complete the form online, ensuring a smooth and efficient application process.
Follow the steps to complete the PA PGW Form 10-69-4798 online.
- Click the ‘Get Form’ button to access the PA PGW Form 10-69-4798 and open it for editing.
- Begin by filling in the 'Customer Name' section, which requires your full name as it appears on your official documents.
- In the 'Street Address/Zip' field, enter your complete address including your zip code to establish your residence.
- Provide your 'Account Number' as listed on past PGW statements to link your application to your account.
- Fill out the 'Social Security Number' field carefully, ensuring accuracy to avoid processing delays.
- Enter your 'Home Phone' and 'Work/Cell Phone' numbers, which will be used for communication regarding your application.
- List the names of everyone living in your household starting with yourself; include all children and adults, and use additional sheets if necessary. Attach copies of Social Security cards for each household member.
- Indicate your relationship to each household member, along with their Social Security Number and date of birth, marking if they are over 62 years old or below 18 years old.
- Report the total number of household members to provide a clear understanding of your household size.
- List the 'Monthly Gross Income' for each member previously listed, starting with yourself. Attach copies of income proof for all members.
- Calculate and enter the 'Total Gross Monthly Household Income' based on the combined income of all listed members.
- Review and complete the agreement section, ensuring you understand your commitments regarding payment, recertification, and program requirements.
- Provide your signature and date at the end of the form to confirm your application and agreements.
- Once completed, save your changes, and utilize the options to download, print, or share the form as needed.
Start filling out your PA PGW Form 10-69-4798 online today to take advantage of the Customer Responsibility Program.
The average PGW bill in Philadelphia can vary significantly based on usage and household size. However, customers generally report average monthly bills around $100 to $150. By utilizing programs like the PGW Customer Assistance Program, individuals can potentially lower their bills through discounts available after completing the PA PGW Form 10-69-4798. Staying informed about your usage and available assistance can help you manage costs effectively.
Fill PA PGW Form 10-69-4798
I authorize PGW to obtain consumer credit reports for purposes of verifying the above information. Customer Signature: Date: 10-69-4798. Application Form. 1. You may also call us at , Mon - Fri, 8 a.m. PGW offers Budget Billing, an assistance program that estimates your yearly gas usage and divides the total evenly over a 12-month period. PGW makes it convenient to manage your natural gas account online – anytime, anywhere you have internet access. Log into My Account Register for My Account. Philadelphia Gas Works (PGW) filed a request with the Pennsylvania Public Utility Commission (PUC) to change your gas base rates as of November 28, 2025. CRP is a customer assistance program that can help low-income customers better afford their PGW bills and keep their gas service on. Issued: November 30, 2016.
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