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Web customers who have a serious medical need for any utility (such as needing electricity for a ventilator), can submit a serious medical condition certification form to the utility. Start, stop, transfer, or even reconnect.

This chapter is promulgated pursuant to chapters 500, 662, and 673 of the 2011 acts of assembly. For your convenience, you may also. Web the customer, the person with the serious medical condition, and a physician must complete a serious medical condition certification form and send it to the utility. Web this form was developed pursuant to: Web download a copy of the certification form under s erious medical condition form .

Because the meters communicate electronically,. Web this form was developed pursuant to: You must complete a form each.

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Edit your dominion energy medical form form online. Web the certificate form must be signed and returned to the utility company by a licensed medical professional. For your convenience, you may also. Please email the complete form to or mail to:.

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Web this form was developed pursuant to: The certificate is good for 30 days and a new form must be. The provisions in this chapter apply to. Get, create, make and sign.

Web Download A Copy Of The Certification Form Under S Erious Medical Condition Form .

Because the meters communicate electronically,. What makes the dominion energy medical form legally. Web customers who have a serious medical need for any utility (such as needing electricity for a ventilator), can submit a serious medical condition certification form to the utility. Calling us early may provide more options to help prevent.

What makes the dominion energy medical form legally. Web this form was developed pursuant to: The form requires a physician's statement and signature. For your convenience, you may also. Get, create, make and sign.