Table of Contents
The Utility Bill form plays a crucial role in managing household expenses and ensuring that essential services remain uninterrupted. This form typically includes vital information such as the account holder's name, service address, and billing period, which are necessary for accurately processing payments. It often outlines the specific utilities being billed, such as water, electricity, and gas, along with their respective usage details. Additionally, payment options and due dates are clearly specified, allowing customers to plan their finances accordingly. By understanding the various components of the Utility Bill form, individuals can better navigate their responsibilities and avoid potential service disruptions. This form serves not only as a record of consumption but also as a reminder of the importance of timely payments in maintaining essential services.
Common mistakes
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Incorrect Account Number: Many people mistakenly enter the wrong account number. This can lead to delays in processing and even missed payments.
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Missing Personal Information: Failing to provide complete personal information, such as your name or address, can cause confusion and prevent the utility company from identifying your account.
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Failure to Sign: Some individuals forget to sign the form. Without a signature, the form is often considered invalid.
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Incorrect Payment Amount: Entering the wrong payment amount can result in either overpayment or underpayment, which complicates future billing.
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Not Checking for Updates: Utility rates can change. Not checking for the latest rates before filling out the form can lead to inaccuracies.
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Neglecting to Review: Skipping the review process can lead to easily fixable mistakes. Always double-check your entries before submission.
Example - Utility Bill Form
ENERGY STATEMENT |
Account No: |
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Statement Date: |
09/07/2019 |
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www.pge.com/MyEnergy |
Due Date: |
09/28/2019 |
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Service For:
SPARKY JOULE 12345 ENERG'( CT
Questions about your bill?
Ways To Pay
www.pge.com/waystopay
Your Account Summary
Amount Due on Previous Statement |
$91.57 |
Payment(s) Received Since Last Statement |
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Previous Unpaid Balance |
$0.00 |
Current PG&E Electric Delivery Charges |
$55.66 |
Silicon Valley Clean Energy Electric Generation Charges |
$32.48 |
I Total Amount Due by 08/28/2019 |
$88.14 |
Monthly Billing History |
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Daily Usage Comparison |
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$200 |
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1 Year |
Last |
Current |
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Ago |
Period |
Period |
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$150 |
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12.50 |
12.16 |
12.67 |
$100 |
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■ ■ ■ |
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$50 |
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Electric kWh / Day |
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$0 |
0.12 |
0.16 |
0.17 |
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2018 8/07 |
9/06 10/04 11/06 12/06 1/08 2/06 |
3/07 4/08 |
5/09 6/06 |
7/10 8/07 |
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Electric |
D |
Gas |
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Gas Therms/ Day |
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Visit www.pge.com/MyEnergy for a detailed bill comparison
Important Messages
The Family Electric Rate Assistance (FERA) Program provides a monthly discount on electric bills for
El Programa FERA ofrece ahorros mensuales solo en las facturas de electricidad a hogares de ingresos econ6micos bajos y medianos con tres o mas personas. Para determinar si califica, por favor llame al
Continued on page 6
Please return this portion with your payment. No staples or paper clips. Do not fold. Thank you.
®
Account Number: |
Due Date: |
Total Amount Due: |
Amount Enclosed: |
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09/28/2019 |
$88.14 |
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$ |
PG&E
BOX 997300
SACRAMENTO, CA
Page 1 of 6
ENERGY STATEMENT |
Account No: |
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Statement Date: |
09/07/2019 |
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www.pge.com/MyEnergy |
Due Date: |
09/28/2019 |
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Important Phone Numbers -
TTY
Servicio al Cliente en Espanol (Spanish)
Djch VI) khach tieng Vi�t (Vietnamese) |
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Business Customer Service |
Rules and rates
You may be eligible for a lower rate. To learn more about optional rates or view a complete list of rules and rates, visit www.pge.com or call
If you believe there is an error on your bill, please call
To avoid having service turned off while you wait for the outcome of a complaint to the CPUC specifically regarding the accuracy of your bill, please contact CAB for assistance. If your case meets the eligibility criteria, CAB will provide you with instructions on how to mail a check or money order to be impounded pending resolution of your case. You must continue to pay your current charges while your complaint is under review to keep your service turned on.
If you are not able to pay your bill, call PG&E to discuss how we can help. You may qualify for reduced rates under PG&E's CARE program or other special programs and agencies may be available to assist you. You may qualify for PG&E's Energy Savings Assistance Program which is an energy efficiency program for
Important definitions
Rotating outage blocks are subject to change without advance notice due to operational conditions.
Tier 1/Baseline allowance: Some residential rates are given a Tier 1/Baseline allowance - a CPUC approved percentage of average customer usage during summer and winter months. Your Tier 1/Baseline allowance provides for basic needs at an affordable price and encourages conservation. Your allowance is assigned based on the climate where you live, the season and your heat source. As you use more energy, you pay more for usage. Any usage over your baseline allowance will be charged at a higher price.
High Usage: An increased price per kWh whenever electricity usage exceeds four times the Baseline Allowance (Tier 1) in a billing period. This charge does not apply to
DWR bond charge: Recovers the cost of bonds issued by the Department of Water Resources (DWR) to purchase power to serve electric customers during the California energy crisis. DWR bond charges are collected on behalf of DWR and do not belong to PG&E.
Power Charge Indifference Adjustment (PCIA): Ensures that
Gas Public Purpose Program (PPP) Surcharge. Used to fund
Visit www.pge.com/billexplanation for more definitions. To view most recent bill inserts including legal or mandated notices, visit www.pge.com/billinserts.
Your Electric Charges Breakdown
Conservation Incentive |
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Transmission |
12.42 |
Distribution |
35.08 |
Electric Public Purpose Programs |
4.71 |
Nuclear Decommissioning |
0.33 |
DWR Bond Charge |
1.91 |
Competition Transition Charges (CTC) |
0.42 |
Energy Cost Recovery Amount |
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PCIA |
10.26 |
Taxes and Other |
0.25 |
Total Electric Charges |
$55.66 |
"PG&E" refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. © 2019 Pacific Gas and Electric Company. All rights reserved. Please do not mark in box. For system use only.
Update My Information (English Only)
Please allow
Account Number:
Change my mailing address to: ________________
City _____________ State |
ZIP code ____ |
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Primary |
Primary |
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Ways To Pay
•Online via web or mobile at www.pge.com/waystopay
•By mail: Send your payment along with this payment stub in the envelope provided.
•By debit card, Visa, MasterCard, American Express, or Discover: Call
•At a PG&E payment center or local office: To find a payment center or local office near you, please visit www.pge.com or call
Page 2 of 6
ENERGY STATEMENT
Details of PG&E Electric Delivery Charges
Service For: 12345 ENERGY CT
Service Agreement ID: 111111111
Rate Schedule: E1 X Residential Service
07/02/2019 - 07/31/2019 Your Tier
Tier 1 Allowance |
297.00 |
kWh |
(30 days x 9.9 kWh/day) |
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Tier 1 Usage |
297.000000 |
kWh |
@$0.22376 |
$66.46 |
Tier 2 Usage |
83.000000 |
kWh |
@$0.28159 |
23.37 |
Generation Credit |
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Power Charge Indifference Adjustment |
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10.26 |
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Franchise Fee Surcharge |
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0.25 |
Total PG&E Electric Delivery Charges |
$55.66 |
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Electric Usage This Period: 380.000000 kWh, 30 billing days |
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30kWh |
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Average Daily Usage 12.67 I |
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7/2 |
7/5 |
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7/11 |
7/14 |
7/17 |
7/20 |
7/23 |
7/26 |
7/29 |
Due Date: |
09/28/2019 |
Service Information |
1111111111 |
Meter# |
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Current Meter Reading |
37,710 |
Prior Meter Reading |
37,330 |
Total Usage |
380.000000 kWh |
Baseline Territory |
X |
Heat Source |
B - Not Electric |
Serial |
G |
Rotating Outage Block |
50 |
Visit www.pge.com/MyEnergy for a detailed bill comparison. |
Page 3 of 6 |
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ENERGY STATEMENT
www.pge.com/MyEnergy
Details of Silicon Valley Clean Energy Electric Generation Charges
08/02/2019 - 08/31/2019 (30 billing days)
Service For: 12345 ENERGY CT
Service Agreement ID: 11111111
07/02/2019 - 07/31/2019
Rate Schedule: |
$32.37 |
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Generation - Total |
380.000000 kWh @$0.08519 |
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Net Charges 32.37 |
0. 11 |
Energy Commission Surcharge |
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Customers receive clean electricity and save money with SVCE. Please see updated |
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SVCE electric rates and comparisons to PG&E at www.svcleanenergy.com/rates |
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Total Silicon Valley Clean Energy |
$32.48 |
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Electric Generation Charges |
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Account No: |
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Statement Date: |
09/07/2019 |
Due Date: |
09/28/2019 |
Service Information |
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Total Usage |
380.000000 kWh |
For questions regarding charges on this page, please contact:
SILICON VALLEY CLEAN ENERGY
Additional Messages
About Silicon Valley Clean Energy (SVCE) Serving 13 Santa Clara County communities, SVCE is a
Understanding SVCE Charges
PG&E continues to provide and bill for electric delivery. SVCE replaces PG&E generation charges. Under PG&E Electric Delivery Charges, note the Generation Credit. This is what PG&E would have charged for power, and now credits back to you. The Power Charge Indifference Adjustment and Franchise Fee are factored into SVCE rates. Learn more:
SVCE is committed to protecting customer privacy.
Learn about our privacy policy at
Visit www.pge.com/MyEnergy for a detailed bill comparison. |
Page 4 of 6 |
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ENERGY STATEMENT
www.pge.com/MyEnergy
Details of Gas Charges
08/02/2019 - 08/31/2019 (30 billing days)
Service For: 12345 ENERGY CT
Service Agreement ID: 1111111111
Rate Schedule: G1 X Residential Service
07/02/2019 - 07/31/2019 |
Your Tier |
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Tier 1 Allowance |
17.70 Therms (30 days x |
0.59 Therms/day) |
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Tier 1 Usage |
5.000000Therms @$ 1.28395 |
$6.42 |
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Gas PPP Surcharge ($0.09047 /Therm) |
0.45 |
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Total Gas Charges |
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$6.87 |
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Account No:
Statement Date: 09/07/2019
Due Date: 09/28/2019
Service Information
Meter# |
11111111 |
Current Meter Reading |
2,588 |
Prior Meter Reading |
2,583 |
Difference |
5 |
Multiplier |
1.031647 |
Total Usage |
5.000000 Therms |
Baseline Territory |
X |
Serial |
G |
Gas Procurement Costs ($/Therm)
07/02/2019 - 07/31/2019$0.28462
Gas Usage This Period: 5.000000 Therms, 30 billing days
Therms |
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= Average Daily Usage 0. 17 I |
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7/11 |
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7/17 |
7/20 |
7/23 |
7/26 |
7/29 |
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Visit www.pge.com/MyEnergy for a detailed bill comparison. |
Page 5 of 6 |
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ENERGY STATEMENT |
Statement Date: |
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09/07/2019 |
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Account No: |
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www.pge.com/MyEnergy |
Due Date: |
09/28/2019 |
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Important Messages (continued from page 1)
CARE Program. You may qualify for a monthly discount with the California Alternate Rates for Energy (CARE) Program. To find out more and apply online, visit www.pge.com/care.
Usted podría reunir los requisitos de un descuento mensual con el California Alternate Rates for Energy Program (CARE). Para obtener más información y hacer su solicitud en Internet, visite www.pge.com/espanol/care.
Electric power line safety PG&E cares about your safety. Be aware of your surroundings and keep yourself, tools, equipment and antennas at least 10 feet away from overhead power lines. If you see an electric power line fall to the ground, keep yourself and others away. Call
Call 811 before you dig. A common cause of pipeline accidents is damage from digging. If you plan on doing any digging, such as planting a tree or installing a fence, please call 811 at least two working days before you dig. One free call will notify underground utilities to mark the location of underground lines, helping you to plan a safe project.
Visit www.pge.com/MyEnergy for a detailed bill comparison.
Page 6 of 6
More About Utility Bill
What is the Utility Bill form used for?
The Utility Bill form is typically used to verify a person's residency or address. It serves as proof of where an individual lives, which can be necessary for various applications, such as obtaining a driver's license, enrolling in school, or applying for government assistance programs.
Who needs to fill out the Utility Bill form?
Individuals who need to provide proof of residency may be required to fill out this form. This includes, but is not limited to, new residents, students, or anyone applying for services that require address verification.
What information is required on the Utility Bill form?
The form typically asks for personal details such as your name, current address, and possibly other identifying information. Additionally, you may need to provide details about the utility service, including the account number and the billing address, if different from your residence.
How do I obtain a Utility Bill form?
You can usually obtain the Utility Bill form from your local government office, utility company, or online through official websites. Some organizations may also provide a downloadable version of the form for convenience.
Is there a fee associated with the Utility Bill form?
Generally, there is no fee for filling out the Utility Bill form itself. However, if you need to obtain a copy of your utility bill from the service provider, there may be associated costs depending on their policies.
How do I submit the Utility Bill form once completed?
Submission methods vary depending on the organization requesting the form. You may need to submit it in person, via mail, or electronically through an online portal. Always check the specific instructions provided by the entity requiring the form.
Can I use a digital copy of my Utility Bill?
Many organizations accept digital copies of utility bills, especially if they are printed directly from your utility provider's website. However, it’s important to confirm with the requesting entity whether they accept digital submissions and if any specific format is required.
What should I do if my Utility Bill is not in my name?
If the utility bill is not in your name, you may need to provide additional documentation to verify your residency. This could include a notarized letter from the bill holder or other forms of identification that link you to the address.
How long does it take to process the Utility Bill form?
Processing times can vary widely depending on the organization and the volume of requests they receive. Typically, you can expect a response within a few days to a couple of weeks. If you have a time-sensitive matter, it is advisable to inquire about expedited processing options.
Key takeaways
When filling out and using the Utility Bill form, keep these key points in mind:
- Accurate Information: Ensure all details are correct. Double-check names, addresses, and account numbers to avoid delays.
- Required Documents: Gather any necessary documents before starting the form. This may include identification and proof of residence.
- Read Instructions: Carefully read any instructions provided with the form. Understanding the requirements can save time.
- Submission Method: Know how to submit the form. Whether by mail, online, or in-person, follow the specified guidelines.
- Deadlines: Be aware of any deadlines for submission. Late submissions could lead to penalties or service interruptions.
- Keep Copies: Always keep a copy of the completed form for your records. This can be useful for future reference.
- Contact Information: Include accurate contact information. This allows for quick follow-up if there are questions about your submission.
- Follow Up: After submitting, follow up to ensure your form was received and processed. This can help prevent any issues.
Taking these steps will help ensure a smooth experience with the Utility Bill form.
Form Attributes
| Fact Name | Description |
|---|---|
| Purpose | The Utility Bill form is used to document and request utility services for residential or commercial properties. |
| Common Utilities | This form typically covers services such as electricity, water, gas, and internet. |
| Information Required | Users must provide personal information, service address, and billing preferences. |
| State-Specific Forms | Some states have specific forms governed by local laws. For example, California follows the Public Utilities Code Section 1001. |
| Submission Process | The completed form can usually be submitted online, by mail, or in person at the utility provider's office. |
| Fees | Some utility providers may charge a fee for processing the Utility Bill form, depending on the service requested. |
| Importance of Accuracy | Providing accurate information is crucial to avoid delays in service activation or billing errors. |
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When engaging in a golf cart transaction, it is advisable to have a thorough understanding of the necessary documentation. The complete Florida Golf Cart Bill of Sale requirements ensure that both parties are well-informed and legally protected throughout the ownership transfer process.
Daycare Receipt - Providers can customize each receipt with the child’s name and service duration.
Dos and Don'ts
When filling out a Utility Bill form, it’s important to be thorough and accurate. Here’s a list of dos and don’ts to guide you through the process.
- Do double-check your account number for accuracy.
- Do provide your current address clearly and completely.
- Do include your contact information, such as phone number and email.
- Do review the payment options available before submitting.
- Do keep a copy of the completed form for your records.
- Don't leave any required fields blank.
- Don't use abbreviations that could lead to confusion.
- Don't forget to sign and date the form, if required.
- Don't submit the form without reviewing it for errors.
By following these guidelines, you can ensure that your Utility Bill form is filled out correctly, helping to avoid any potential issues with your utility provider.