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Understanding the Utility Bill form is essential for anyone navigating the intricacies of utility management. This form serves as a key document that facilitates the process of tracking and managing various utility services, including electricity, water, gas, and sometimes even internet or cable. By efficiently summarizing essential information, the Utility Bill form typically captures details such as account holder information, billing periods, total charges, usage statistics, and any applicable taxes or fees. Moreover, the structure of the form often includes various sections designed to help consumers quickly identify their consumption patterns, compare previous usage, and identify potential discrepancies that may warrant further investigation. Being familiar with this form not only aids in effective budgeting but also empowers individuals to take control of their utility expenses, ensuring they are informed and engaged with their utility providers. In essence, whether you are a homeowner, a renter, or a business proprietor, mastering the Utility Bill form can significantly enhance your ability to manage your resources wisely.

Form Sample

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

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:

Due Date:

Total Amount Due:

Amount Enclosed:

123456789-1

09/28/2019

$88.14

$

PG&E

BOX 997300

SACRAMENTO, CA 95899-7300

Page 1 of 6

ENERGY STATEMENT

Account No:

1234567890-1

Statement Date:

09/07/2019

www.pge.com/MyEnergy

Due Date:

09/28/2019

 

 

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

$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 1-2 billing cycles for changes to take effect

Account Number: 1234567890-1

Change my mailing address to: ________________

City _____________ State

ZIP code ____

Primary

Primary

 

Phone#--------- Email --------------

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

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

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 Usagel�-1��-2

Tier 1 Allowance

297.00

kWh

(30 days x 9.9 kWh/day)

Tier 1 Usage

297.000000

kWh

@$0.22376

$66.46

Tier 2 Usage

83.000000

kWh

@$0.28159

23.37

Generation Credit

 

 

 

-44.68

Power Charge Indifference Adjustment

 

 

10.26

Franchise Fee Surcharge

 

 

 

0.25

Total PG&E Electric Delivery Charges

$55.66

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

Due Date:

09/28/2019

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

 

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:

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

$32.48

Electric Generation Charges

Account No:

1234567890-1

Statement Date:

09/07/2019

Due Date:

09/28/2019

Service Information

 

Total Usage

380.000000 kWh

For questions regarding charges on this page, please contact:

SILICON VALLEY CLEAN ENERGY 1-844-474-7823 [email protected]

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

Visit www.pge.com/MyEnergy for a detailed bill comparison.

Page 4 of 6

 

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 Usagel�-1��-2

 

 

 

 

 

Tier 1 Allowance

17.70 Therms (30 days x

0.59 Therms/day)

 

 

Tier 1 Usage

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

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

 

 

 

 

 

= Average Daily Usage 0. 17 I

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

7/2

7/5

7/8

7/11

7/14

7/17

7/20

7/23

7/26

7/29

 

Visit www.pge.com/MyEnergy for a detailed bill comparison.

Page 5 of 6

 

ENERGY STATEMENT

Statement Date:

 

09/07/2019

 

Account No:

1234567890-1

www.pge.com/MyEnergy

Due Date:

09/28/2019

 

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.

Visit www.pge.com/MyEnergy for a detailed bill comparison.

Page 6 of 6

Document Specifications

Fact Name Description
Purpose of Utility Bill Form The Utility Bill form is primarily used to document the expenses incurred for utilities such as water, electricity, and gas by residents and businesses.
Common Uses This form may be required in various situations including rental applications, utility assistance programs, and verifying residency.
Required Information Generally, the form will ask for details like the submitter's name, address, account number, and the specific utility services provided.
Frequency of Submission Utility bills are typically issued monthly, hence the form needs to be updated each month to reflect the most current information.
State-Specific Forms Each state may have its own version of the utility bill form, governed by specific state laws related to utility services.
Privacy Considerations When filling out the Utility Bill form, individuals should ensure that sensitive information is kept private and secure from unauthorized access.
Fees and Charges The form may include sections that outline any late fees or additional charges for past due amounts on the utility bill.
Governing Laws In many states, utility billing practices are governed by regulations enforced by the Public Utility Commission (PUC) or similar entities.

Steps to Filling Out Utility Bill

Filling out a utility bill form is an important task that ensures your payments are processed correctly. After completing this form, it will be submitted for record-keeping and payment processing. To make sure everything goes smoothly, follow these straightforward steps.

  1. Begin by locating the form on your computer or at the designated office.
  2. Carefully read the instructions provided at the top of the form.
  3. Fill in your name in the designated box, making sure it's legible.
  4. Next, input your residential address, providing the street number, street name, city, state, and ZIP code.
  5. Include your utility account number, typically found on a previous bill.
  6. In the payment section, enter the amount you are paying.
  7. Choose the payment method from the available options, such as check, credit card, or bank transfer.
  8. If applicable, include any additional details, like a reference number.
  9. Sign the form at the bottom, affirming that the information is correct.
  10. Finally, review the form for any errors before submitting it or sending it off.

More About Utility Bill

What is the purpose of the Utility Bill form?

The Utility Bill form is primarily used to verify a person's residency and utility expenses. When individuals need to establish where they live, such as for applying for government aid or proving their address for school registration, this form often comes into play. It serves as official documentation from utility companies, presenting clear evidence that a person is responsible for paying utility bills at a specific address.

Who needs to fill out the Utility Bill form?

This form may be required by anyone applying for certain services or benefits that require proof of residency. This includes renters applying for housing assistance, students enrolling in local schools, or individuals seeking utility transfers. If documentation of residency or utility payments is necessary, the Utility Bill form must be filled out accurately by the responsible party.

What information do I need to provide on the Utility Bill form?

Typically, the Utility Bill form asks for personal information such as your name, the address of the property, and details about the utility account. You may need to include your account number and the name of the utility service provider. Additionally, it's essential to ensure that the utility statement is up to date, reflecting the most recent billing period to demonstrate current residency status effectively.

How do I submit the Utility Bill form?

Submission methods vary depending on the organization requesting the form. Many institutions accept electronic submissions, allowing you to upload the completed form online. Others may require a physical copy to be mailed or presented in person. Always check the specific submission guidelines provided by the organization to ensure your form is processed correctly.

Common mistakes

  1. Leaving personal information blank. It is essential to fill out all required fields, including your full name, address, and contact details. Omitting any of this information can lead to delays or problems with service.

  2. Not using accurate account numbers. Double-check the account number associated with your utility service. Using an incorrect number may result in misallocated charges or issues with service delivery.

  3. Misunderstanding the payment amount due. Some forms break down the charges, while others provide a total. Make sure you accurately assess what is owed to avoid late fees.

  4. Failing to sign the form. Many people forget to provide a signature, believing it to be an unnecessary step. A signature is typically required to process the document and authorize payments or changes.

  5. Submitting forms after deadlines. Each utility service provider has specific deadlines for receiving payments and forms. Late submissions may result in penalties or service interruptions.

  6. Neglecting to read the instructions carefully. Most forms include specific guidance on how to fill them out properly. Overlooking these instructions can lead to common mistakes.

  7. Using outdated forms. Ensure you are using the most current version of the utility bill form. Utility companies may update forms frequently, and outdated versions might be rejected.

  8. Forgetting to keep a copy. After submitting the form, it is important to keep a copy for your records. This practice can assist you with any future inquiries or disputes.

  9. Inaccurate payment method details. If you are paying online or via check, make sure your payment method is clearly stated and accurate. Errors here can delay processing.

  10. Ignoring added notes or comments sections. Sometimes, specific circumstances may require brief explanations. Utilizing this section properly can expedite processing or clarify your situation.

Documents used along the form

When dealing with utility services, various documents work together with the Utility Bill form to ensure seamless processing. Each of these forms plays a specific role and helps provide essential information required for different transactions or verifications.

  • Identification Verification Form: This document proves your identity. It often requires information like your name, address, and a government-issued ID number.
  • Service Agreement: A contract outlining the terms and conditions of service with the utility provider. It specifies rates, policies, and obligations for both parties.
  • Change of Address Form: This form helps notify the utility company of any changes to your address. Completing it ensures that future bills and communications go to the correct location.
  • Payment History Record: A summary showing your past payments. It helps establish your payment behavior, particularly if you apply for credit or financial assistance.
  • Security Deposit Receipt: A proof of payment for your security deposit. This is often required when setting up a new utility account.
  • Dispute Resolution Form: If there’s a dispute with your billing or service, this form helps formally file your complaint along with the details.
  • Application for Assistance Programs: Many utility companies offer aid programs for those in need. This application collects your financial information to determine eligibility.

Using these documents together with your Utility Bill form will streamline any utility-related processes. Keeping these forms handy can save you time and reduce stress when dealing with utility companies.

Similar forms

The Utility Bill form is often compared to a Lease Agreement because both documents establish the terms of service for residential spaces. A Lease Agreement outlines the rental conditions between a tenant and a landlord. Similarly, a Utility Bill shows the charges for services provided, which are essential for a tenant's daily living. While the Lease Agreement contains details about the duration of occupancy, rent, and the responsibilities of both parties, the Utility Bill focuses specifically on the costs associated with utilities like water, electricity, and gas, which are typically tied to the property outlined in the lease.

Another document similar to the Utility Bill is the Bank Statement. Both documents serve as financial records. A Bank Statement reflects an account holder's financial activity over a specific period, itemizing deposits and withdrawals. Likewise, a Utility Bill itemizes the usage of services over a billing cycle. Each helps individuals track expenses and manage budgets. They both provide crucial information for understanding personal finances and may play a role in loan applications or financial assessments.

Invoices are also closely related to Utility Bills. An invoice typically lists goods or services provided, along with the amounts owed. Utility Bills, in contrast, itemize utility services consumed, detailing usage along with the corresponding charges. Both documents facilitate the payment process, prompting consumers to fulfill their financial obligations. They serve as official requests for payment and can be referenced for any disputes or clarifications on the services rendered.

Similarly, Pay Stubs function in a comparable manner. While Pay Stubs detail an employee's earnings, taxes withheld, and deductions, Utility Bills break down costs associated with necessary services. Both serve as important financial documents for personal record-keeping. They provide insights into regular expenses, helping individuals better understand their financial standing and manage their budget effectively.

Property Tax Bills are analogous to Utility Bills in that they both outline financial obligations related to a property. Property Tax Bills indicate the amount owed to the local government based on the assessed value of the property. In comparison, Utility Bills highlight the costs of essential services used within that property. While they address different types of charges, both are critical for homeowners and renters alike, and failure to pay either can lead to serious financial repercussions.

Lastly, Insurance Premium Statements share similarities with Utility Bills by outlining payment responsibilities for services. Insurance Premium Statements detail payments made for coverage, whether for health, auto, or homeowners insurance. Utility Bills, on the other hand, specify charges for utilities essential to everyday living. Both documents are recurring financial obligations, usually sent on a regular basis, aiding individuals in maintaining their financial planning and ensuring continuity of essential services.

Dos and Don'ts

Filling out a Utility Bill form can seem straightforward, but there are a few important practices to keep in mind to ensure accuracy and efficiency. Below are some do's and don'ts that can guide you through the process.

  • Do double-check your account number. This is crucial to ensure that your payment is applied correctly.
  • Do provide accurate contact information. Include a phone number or email so the utility company can reach you if there are any issues.
  • Do keep a copy of the completed form. Having a record can be beneficial for future reference or disputes.
  • Do submit the form by the deadline. Late submissions can lead to penalties or interruptions in service.
  • Don't leave any required fields blank. Missing information may delay processing your bill.
  • Don't guess if you are uncertain. If you are not sure about a specific question, reach out to the utility company for clarification.

By following these guidelines, you can help ensure that your Utility Bill form is filled out correctly and that your account remains in good standing.

Misconceptions

Many people have misunderstandings about the Utility Bill form. These misconceptions can lead to confusion and errors. Here is a list of common myths about this form:

  • Utility Bill forms are always the same everywhere. In reality, different states and utility companies may have unique formats and requirements.
  • Only homeowners need to fill out a Utility Bill form. Renters may also need to provide utility documentation for various purposes, such as applying for services or aid.
  • Utility Bill forms are only used for setting up new accounts. They are also frequently needed for service transfers, disconnections, and verifications.
  • You cannot use a utility bill that is not in your name. Sometimes, a bill that is in a household member’s name can still serve as valid proof of residence.
  • Utility Bill forms are only needed for major utilities. This misconception neglects that some organizations may require bills from cable or internet providers as well.
  • You cannot use an electronic copy of a utility bill. Many entities accept digital versions. However, ensure they are clear and readable.
  • Utility Bill forms require a lot of personal information. In many cases, only basic information is necessary, such as the service address and account number.
  • Utility Bills always arrive on the same day each month. Utility bills can have variable billing cycles. Check with your provider for specifics.
  • You can ignore a utility bill if it’s not due yet. Always keep track of all bills, even those not due. This helps avoid late payments and service interruptions.

Understanding these points can help clarify the purpose and requirements of the Utility Bill form. Being informed means fewer issues down the line.

Key takeaways

Understanding how to properly fill out and utilize the Utility Bill form is crucial for effective communication with utility companies and ensuring accurate billing. Here are key takeaways to keep in mind:

  • Provide accurate personal information, including your name and contact details, to avoid any delays or issues.
  • Ensure you include the correct account number associated with your utility services, as this will directly impact processing.
  • Always double-check the amount due on the bill for accuracy; incorrect amounts can lead to payment errors.
  • Keep a copy of the filled-out form for your records, as this can serve as proof of payment or communication.
  • Be aware of the submission deadlines to avoid late fees; timely submission is key.
  • If you encounter any discrepancies, follow up promptly with the utility company to resolve issues quickly.