The Utility Bill form is a document used to provide proof of residence and utility payments, often required for various applications and services. This form can help establish your identity and residency status, making it an essential part of many processes. To get started on filling out the Utility Bill form, click the button below.
When managing household expenses, understanding your utility bills is essential for effective budgeting and financial planning. The Utility Bill form serves as a crucial tool for both residents and service providers, offering a clear breakdown of charges for essential services such as electricity, water, gas, and sometimes even internet or cable. This form typically includes important details such as the billing period, account number, and due date, allowing consumers to track their usage and payments efficiently. Additionally, it may feature information about any late fees, payment options, and contact details for customer service, ensuring that users have all the necessary resources at their fingertips. By familiarizing yourself with the Utility Bill form, you can gain better insight into your consumption patterns, identify discrepancies, and take proactive steps to manage your utilities effectively.
ENERGY STATEMENT
Account No:
1234567890-1
Statement Date:
09/07/2019
www.pge.com/MyEnergy
Due Date:
09/28/2019
Service For:
SPARKY JOULE 12345 ENERG'( CT
Questions about your bill?
Monday-Friday 7 a.m.-9 p.m. Saturday 8 a.m.-6 p.m. Phone: 1-800-743-5000 www.pge.com/MyEnergy
Ways To Pay
www.pge.com/waystopay
Your Account Summary
Amount Due on Previous Statement
$91.57
Payment(s) Received Since Last Statement
-91.57
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
Daily Usage Comparison
$200
1 Year
Last
Current
Ago
Period
$150
12.50
12.16
12.67
$100
■ ■ ■
$50
Electric kWh / Day
$0
-+-----'-r-"-------
"'r�---
'-r"-----'-r-"
-----'-r�---
'-r"-----'-r"----'-r�---
'--r"------'-r"------i
0.12
0.16
0.17
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 2019-�c____<=----
=::,__---l
■
Electric
D
Gas
Gas Therms/ Day
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 income-qualified households of three or more persons. To see if you qualify, please call 1-800-PGE-5000 or apply online at www.pge.com/fera.
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 1-800-PGE-5000 o puede aplicar a traves de nuestra pagina web www.pge.com/fera.
Continued on page 6
Please return this portion with your payment. No staples or paper clips. Do not fold. Thank you.
®
Account Number:
Total Amount Due:
Amount Enclosed:
123456789-1
$
PG&E
BOX 997300
SACRAMENTO, CA 95899-7300
Page 1 of 6
Important Phone Numbers - Monday-Friday 7 a.m.-9 p.m., Saturday 8 a.m.-6 p.m. Customer Service (All Languages; Relay Calls Accepted) 1-800-743-5000
TTY 7-1-1
Servicio al Cliente en Espanol (Spanish) -��.P�IHf (Chinese)
1-800-660-6789
Djch VI) khach tieng Vi�t (Vietnamese)
1-800-298-8438
1-800-893-9555
Business Customer Service
1-800-468-4743
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 1-800-743-5000.
If you believe there is an error on your bill, please call 1-800-743-5000 to speak with a representative. If you are not satisfied with our response, contact the California Public Utilities Commission (CPUC), Consumer Affairs Branch (CAB), 505 Van Ness Avenue, Room 2003, San Francisco, CA 94102, 1-800-649-7570 or 7-1-1 (8:30 AM to 4:30 PM, Monday through Friday) or by visiting www.cpuc.ca.gov/complaints/.
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 income-qualified residential customers.
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 Time-of-Use rate plans.
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 non-exempt customers under PG&E's GT and ECR rate schedules or who purchase electricity (generation) from non-PG&E suppliers pay their share of generation costs.
Gas Public Purpose Program (PPP) Surcharge. Used to fund state-mandated gas assistance programs for low-income customers, energy efficiency programs, and public-interest research and development.
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
-$9.50
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
-0.22
PCIA
10.26
Taxes and Other
0.25
Total Electric Charges
"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 1-2 billing cycles for changes to take effect
Account Number: 1234567890-1
Change my mailing address to: ________________
City _____________ State
ZIP code ____
Primary
Phone#--------- Email --------------
•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
877-704-8470 at any time. (Our independent service provider charges a fee per transaction.)
•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 800-743-5000. Please bring a copy of your bill with you.
Page 2 of 6
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 Usagel�-1��-2�
Tier 1 Allowance
297.00
kWh
(30 days x 9.9 kWh/day)
Tier 1 Usage
297.000000
@$0.22376
$66.46
Tier 2 Usage
83.000000
@$0.28159
23.37
Generation Credit
-44.68
Power Charge Indifference Adjustment
Franchise Fee Surcharge
Total PG&E Electric Delivery Charges
Electric Usage This Period: 380.000000 kWh, 30 billing days
30kWh
----- =
Average Daily Usage 12.67 I
24
18
12
---------
------------�•--·--- - ------
----
--
- -
6
0
--+------"P.__.,.___.,._.,.__.,.___.,._.,.__.,.___.,._.,.__.,.__.,._.,.__.,.__.,._.,._.,.__.,._.,._.,.__.,._.,._.,.__.,._.,._.,.__.,._.,._.,.____.,.___,
7/2
7/5
7/8
7/11
7/14
7/17
7/20
7/23
7/26
7/29
Service Information
1111111111
Meter#
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
Details of Silicon Valley Clean Energy Electric Generation Charges
08/02/2019 - 08/31/2019 (30 billing days)
Service Agreement ID: 11111111
07/02/2019 - 07/31/2019
Rate Schedule:
E-1
$32.37
Generation - Total
380.000000 kWh @$0.08519
Net Charges 32.37
0. 11
Energy Commission Surcharge
Customers receive clean electricity and save money with SVCE. Please see updated
SVCE electric rates and comparisons to PG&E at www.svcleanenergy.com/rates
Total Silicon Valley Clean Energy
Electric Generation Charges
For questions regarding charges on this page, please contact:
SILICON VALLEY CLEAN ENERGY 1-844-474-7823 customerservice@SVCleanEnergy.org
Additional Messages
About Silicon Valley Clean Energy (SVCE) Serving 13 Santa Clara County communities, SVCE is a locally-controlled, public agency providing residents and businesses with electricity from renewable and hydroelectric sources.
Understanding SVCE Charges
PG&E continues to provide and bill for electric delivery. SVCE replaces PG&E generation charges. Under PG&E Electric Delivery Charges, note the Generation Credit. This is what PG&E would have charged for power, and now credits back to you. The Power Charge Indifference Adjustment and Franchise Fee are factored into SVCE rates. Learn more:
https://www.svcleanenergy.orgies/your-bi11/.
SVCE is committed to protecting customer privacy.
Learn about our privacy policy at www.svcleanenergy.org/customer-confidenti ality
Page 4 of 6
Details of Gas Charges
Service Agreement ID: 1111111111
Rate Schedule: G1 X Residential Service
Your Tier Usagel�-1��-2�
17.70 Therms (30 days x
0.59 Therms/day)
5.000000Therms @$ 1.28395
$6.42
Gas PPP Surcharge ($0.09047 /Therm)
0.45
Total Gas Charges
$6.87
Account No: 1234567890-1
Statement Date: 09/07/2019
Due Date: 09/28/2019
11111111
2,588
2,583
Difference
5
Multiplier
1.031647
5.000000 Therms
Gas Procurement Costs ($/Therm)
07/02/2019 - 07/31/2019$0.28462
Gas Usage This Period: 5.000000 Therms, 30 billing days
Therms
= Average Daily Usage 0. 17 I
4
3
2
Page 5 of 6
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 9-1-1.
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.
Page 6 of 6
Hazmat Shipping Papers Template - The carrier must have written notice of any hazardous nature prior to shipment.
The California Residential Lease Agreement is a legal document that outlines the terms and conditions between a landlord and tenant for renting a residential property. This form serves as a crucial tool to ensure both parties understand their rights and responsibilities. For more information and to access the necessary forms, visit califroniatemplates.com to get started on your rental journey.
Bdsm Checklist - Experimenting with temperature play for novel sensations.
Understanding the Utility Bill form can be challenging, and there are several misconceptions that often arise. Here is a list of ten common misunderstandings, along with clarifications to help clear the confusion.
This is not true. Utility Bill forms can be used by anyone who needs assistance with their utility payments, regardless of income level.
While some programs focus on those who are struggling, many forms allow for proactive assistance to help prevent future arrears.
Submitting the Utility Bill form does not guarantee aid. Each application is reviewed based on specific criteria and available funding.
Assistance programs can vary significantly from one utility provider to another. It is essential to check with your specific provider for available options.
Many programs allow multiple applications throughout the year, especially if there are changes in your financial situation.
Renters are also eligible for utility assistance. If utilities are included in your rent or if you pay them separately, you can still apply.
While many people seek help during emergencies, utility assistance can also be used for regular monthly payments to avoid future crises.
This is a misconception. If your financial situation changes, you may be eligible to apply for assistance again.
Forms can differ in complexity depending on the utility provider and the specific program. It's important to read the instructions carefully.
Assistance can also apply to gas, heating, and other essential services, depending on the program's guidelines.
By understanding these misconceptions, you can navigate the Utility Bill form process more effectively and increase your chances of receiving the assistance you need.
When dealing with utility bills, several other forms and documents may be required for various purposes, such as verifying identity, applying for services, or disputing charges. Understanding these documents can help streamline processes and ensure all necessary information is readily available.
Having these forms and documents ready can facilitate smoother interactions with utility providers. Ensuring that all necessary information is accurately filled out can help prevent delays and misunderstandings.