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Contents

The Utility Bill form serves as an essential document for individuals and businesses alike, facilitating the management of utility services such as electricity, water, gas, and internet. This form typically includes vital information such as the name of the account holder, the service address, and the utility provider's details. It may also require the account number, billing cycle dates, and payment history. Understanding the components of the Utility Bill form is crucial for ensuring accurate billing and timely payments. Additionally, this form can play a significant role in establishing residency, verifying income, or applying for financial assistance programs. By comprehending its major aspects, users can navigate the complexities of utility management more effectively, ensuring that they remain connected to essential services.

How to Write Utility Bill

After you have gathered all the necessary information, you are ready to fill out the Utility Bill form. This form will require specific details about your utility account and personal information. Follow the steps below to ensure that you complete it accurately.

  1. Begin by entering your full name in the designated field.
  2. Provide your current address, including the city, state, and ZIP code.
  3. Next, fill in your utility account number. This can usually be found on your previous utility bills.
  4. Indicate the type of utility service you are using, such as water, electricity, or gas.
  5. Enter the billing period for which you are submitting the bill. This should reflect the start and end dates.
  6. Fill in the total amount due for the utility bill.
  7. If applicable, include any late fees or additional charges.
  8. Finally, sign and date the form to confirm that the information provided is accurate.

Once you have completed these steps, review the form for any errors or omissions. Make sure all information is clear and legible before submitting it as required.

Misconceptions

Understanding the Utility Bill form can be challenging, and several misconceptions often arise. Here are nine common misunderstandings related to this form:

  1. Utility Bill forms are only for new customers. Many believe that these forms are only necessary when setting up a new account. In reality, they are also required for existing customers who need to update their information or change service plans.
  2. All utility companies use the same form. Different utility providers may have unique forms tailored to their specific requirements. It is essential to refer to the correct form for your service provider to ensure accurate submission.
  3. Utility Bill forms can be submitted at any time. Some individuals think they can submit the form whenever they wish. However, there are often deadlines associated with changes in service or billing adjustments that must be adhered to.
  4. Filling out the form is a one-time process. Many assume that once they fill out the form, they will never need to do so again. Changes in personal circumstances, such as moving or changes in service, may require additional submissions.
  5. Providing personal information is unnecessary. Some people hesitate to share personal details on the form, thinking it is not required. However, accurate information is crucial for the utility company to process requests and maintain service.
  6. Submitting the form guarantees immediate service changes. There is a misconception that once the form is submitted, changes will take effect immediately. In many cases, processing times can vary, and it may take several days for updates to be reflected in the account.
  7. Utility Bill forms are only for billing issues. While many associate the form with billing, it can also be used for service requests, account updates, and other inquiries. Its purpose extends beyond just financial matters.
  8. Once submitted, the form cannot be modified. Some individuals believe that once they submit the form, they cannot make changes. In fact, utility companies often allow customers to submit revised forms if they notice errors or need to update information.
  9. There is no need to keep a copy of the submitted form. Many people think that keeping a copy is unnecessary. However, retaining a copy can be beneficial for future reference and to ensure that all information provided is accurate.

By addressing these misconceptions, individuals can navigate the Utility Bill form process more effectively and ensure that their utility services are managed smoothly.

Utility Bill Example

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 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

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

Key takeaways

When filling out and using the Utility Bill form, consider the following key takeaways:

  1. Ensure all personal information is accurate. This includes your name, address, and account number.
  2. Provide current billing details. Use the most recent utility bill to avoid discrepancies.
  3. Double-check the payment amount. Make sure it matches the total due on the bill.
  4. Include any necessary documentation. Attach proof of identity or residency if required.
  5. Submit the form by the specified deadline. Late submissions may result in penalties.
  6. Keep a copy of the completed form for your records. This helps track your submissions.
  7. Contact customer service if you have questions. They can provide guidance on filling out the form correctly.
  8. Be aware of any fees associated with payment methods. Some options may incur additional charges.
  9. Review the utility company’s policies. Familiarize yourself with their rules regarding bill payments.

Dos and Don'ts

Filling out a utility bill form can seem straightforward, but a few key practices can make the process smoother and more efficient. Here’s a list of things you should and shouldn’t do when completing this form.

  • Do double-check your account number to ensure accuracy.
  • Do provide your current address, including any apartment or unit numbers.
  • Do read all instructions carefully before starting.
  • Do keep a copy of the completed form for your records.
  • Don't leave any required fields blank; this could delay processing.
  • Don't use nicknames or abbreviations for your name or address.
  • Don't forget to sign and date the form before submission.

By following these guidelines, you can help ensure that your utility bill form is filled out correctly and processed in a timely manner.

Similar forms

The first document similar to a Utility Bill is a Lease Agreement. This document outlines the terms and conditions between a landlord and a tenant. Like a Utility Bill, it provides essential information about the property, such as the address and the parties involved. Both documents serve to establish a relationship and clarify responsibilities, particularly regarding payment obligations. While a Utility Bill reflects ongoing utility usage, a Lease Agreement sets the framework for the rental period and associated costs.

Another comparable document is a Bank Statement. This statement details financial transactions over a specific period, much like a Utility Bill shows consumption over a billing cycle. Both documents include the name of the account holder or resident and the address linked to the account. They serve as proof of financial activity, which can be necessary for various applications, such as loans or rental agreements. Each document reflects the financial responsibilities of the individual or entity it pertains to.

A Credit Card Statement also shares similarities with a Utility Bill. This statement provides a summary of charges, payments, and the total amount due for a billing cycle. Just as a Utility Bill indicates the amount owed for services rendered, a Credit Card Statement outlines the charges incurred during the billing period. Both documents help individuals track their expenses and manage their budgets effectively, providing a clear view of financial obligations.

Another document that resembles a Utility Bill is a Pay Stub. A Pay Stub details an employee's earnings and deductions for a specific pay period, much like a Utility Bill reflects the charges for services provided. Both documents contain important information, such as the date, amount due, and the recipient's name. They serve as proof of income or expenses, which can be vital for various financial processes, including loan applications or rental agreements.

The Texas Employment Verification form is crucial for individuals seeking assistance, as it confirms their employment status and provides essential details about their work history and compensation. To ensure compliance and accuracy, employers may refer to resources such as texasformsonline.com/free-texas-employment-verification-template, which offers templates to streamline this process and support employees in their applications for state benefits.

A Property Tax Statement is also similar to a Utility Bill. This document provides information about property taxes owed, including the assessment of the property and the due date. Like a Utility Bill, it specifies the property address and the amount due. Both documents are essential for maintaining compliance with local regulations and can be used as proof of residence or ownership when applying for services or loans.

Lastly, an Insurance Bill aligns closely with a Utility Bill. This document outlines the premium owed for insurance coverage, detailing the policyholder's name and the property insured. Both documents indicate amounts due for services rendered, requiring timely payment to avoid penalties or service interruptions. They serve as essential records for individuals managing their financial responsibilities and can be used in various applications requiring proof of payment history.