Homepage / Fill in a Valid Utility Bill Template
Table of Contents

Managing household expenses can often feel overwhelming, especially when it comes to understanding the various documents that govern utility usage. The Utility Bill form serves a crucial role in this process, as it outlines the details of utility services provided to a residential or commercial establishment. This form typically includes essential information such as the account holder's name and contact details, billing cycle dates, and specific charges for services like electricity, water, gas, and waste disposal. Additionally, it may reflect past due amounts, payments received, and any applicable late fees. Clear breakdowns of the total amount due and usage history enable consumers to analyze their consumption patterns and budget accordingly. Understanding the components of the Utility Bill form is fundamental for individuals aiming to maintain financial responsibility and ensure that services remain uninterrupted.

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 [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

File Breakdown

Fact Name Details
Purpose The Utility Bill form is used to document and record charges for water, gas, electricity, or other utilities provided to a residence or business.
Information Required Typically, the form requires information such as the account holder's name, service address, billing address, and the details of usage.
Payment Options Individuals can usually pay their utility bills online, via mail, or in person, depending on the company’s policies.
Due Date Most utility bills have a specific due date, after which late fees may apply if payment is not received.
State Regulations In many states, utility billing practices are regulated to ensure fairness and transparency. For example, California’s Public Utilities Code governs utility bills.
Dispute Resolution Customers have the right to dispute charges that they believe are incorrect, and utility companies usually have procedures in place for these disputes.
Accessibility Utility companies are often required to provide accessible billing information for individuals with disabilities, ensuring everyone can understand their bills.
Energy Assistance Programs Many states offer energy assistance programs for low-income households to help pay for utility bills, which can be vital during extreme weather conditions.
Privacy Protections Personal information on utility bills is generally protected under state privacy laws, ensuring customer data remains confidential.

Guide to Using Utility Bill

After you have gathered the necessary information, you are ready to fill out the Utility Bill form. This form typically requires specific details related to your account and the utility services you are using. Follow these steps carefully to complete the form accurately.

  1. Read the instructions: Before starting, review any instructions provided with the form to understand the requirements.
  2. Provide your personal information: Fill in your name, address, and contact information in the designated fields.
  3. Enter account details: Include your utility account number and the service address if it differs from your home address.
  4. Specify billing period: Indicate the billing period for which you are submitting this form.
  5. Fill in payment information: If applicable, provide details about the payment method or amount unless otherwise instructed.
  6. Sign and date: Ensure you sign and date the form at the bottom to validate your submission.
  7. Submit the form: Follow instructions on where to send or submit the form, whether online, by mail, or in person.

Get Answers on Utility Bill

What is a Utility Bill form?

A Utility Bill form is a document provided by utility companies to their customers. It contains crucial information regarding the services offered, such as electricity, water, gas, or internet. The form typically shows usage details, payment amounts, and dates. Customers use this information to manage their accounts and make timely payments.

Why do I need to submit a Utility Bill form?

Submitting a Utility Bill form may be required for various purposes. Individuals may need to provide proof of residency, apply for public assistance, or verify their identity for certain services. It's also common to submit this form when setting up new accounts or when required by educational institutions.

How do I obtain my Utility Bill?

Utility Bills are usually mailed directly to customers every billing cycle. Customers can also access their bills online by logging into the utility company's website. Many companies offer electronic billing, where customers can view and download their bills in PDF format. If a physical copy is needed, contacting customer service can help with accessing a new one.

What information is typically included on the Utility Bill?

A Utility Bill generally contains the following information:

  1. Account holder's name and address
  2. Billing period dates
  3. Previous meter readings and current meter readings
  4. Total usage for the billing period
  5. Charges for services rendered
  6. Due date for payment
  7. Payment options available

Can I dispute a charge on my Utility Bill?

Yes, customers have the right to dispute charges they believe are incorrect. It is recommended to review the billing details first. If discrepancies are identified, reaching out to customer service is the appropriate next step. They can provide guidance on how to formally dispute the charge and what information may be needed.

What should I do if I cannot pay my Utility Bill on time?

If payment cannot be made by the due date, contact the utility company as soon as possible. Most companies offer flexible payment options, such as payment plans or extensions. They may also provide information on assistance programs available for those facing financial difficulties.

Is it possible to set up automatic payments for my Utility Bill?

Many utility companies offer automatic payment options. Customers can authorize recurring payments that are deducted directly from their bank account or charged to a credit card. Setting up this option can help ensure that bills are paid on time and reduce the risk of late fees.

How often will I receive my Utility Bill?

Utility billing cycles vary depending on the company. Most utilities send bills monthly, while some may bill bi-monthly or even quarterly. It’s beneficial for customers to review the billing frequency specified by their utility provider to maintain awareness of upcoming payments.

What should I do if I believe my Utility Bill is inaccurate?

If there are concerns regarding the accuracy of the Utility Bill, gather all relevant information, such as previous bills and meter readings. Then, contact customer service to discuss the issue. They can review the account and provide explanations or corrections if needed.

Can I get my Utility Bill in a different language?

Some utility companies offer bills in multiple languages to accommodate their customer base. Customers should check with their provider’s customer service to see if this option is available and request a different language if needed.

Common mistakes

Filling out a Utility Bill form can be straightforward, but common mistakes can lead to issues. One frequent error is providing incorrect personal information. Individuals often miswrite their name, address, or contact details. This inconsistency can create confusion and delay in processing the bill.

Another mistake involves neglecting to review the usage section of the form. Some people forget to include how much energy or water they've used in the billing period. This oversight can cause inaccurate billing amounts, leading to frustration and possible overcharges.

Inaccurate account numbers also pose a problem. It's essential to input the right account number associated with the service. Errors in this section may result in payments being misapplied or lost, creating complications for both the service provider and the customer.

Failure to sign or date the form is another common issue. Many individuals overlook the importance of signing the document, which is crucial for validating the information. A missing signature can lead to the form being rejected or processed incorrectly.

Some people may also forget to attach necessary supporting documents. Depending on the utility provider, required documents could include identification or proof of residency. Skipping this step can delay processing and lead to unnecessary follow-ups.

Lastly, submitting the form through the wrong channel is a frequent mistake. Some individuals send it via email when a physical submission is required or vice versa. This can result in missed deadlines and additional complications, making timely processing difficult.

Documents used along the form

When managing your household finances or applying for various services, a utility bill is just one of several important documents you may need. These documents help verify your identity, residency, and sometimes even your financial situation. Here’s a look at some other essential forms and documents often used alongside a utility bill.

  • Government-issued ID: A driver's license or passport serves as proof of identity. It verifies that the name on the utility bill matches your identification.
  • Lease or Rental Agreement: This document outlines the terms of your living arrangement and confirms your address. It's vital for landlord-tenant relationships and proves where you reside.
  • Pay Stub or Income Statement: These documents reflect your earnings. They are often requested for loan applications or other financial assessments to gauge your stability and ability to pay.
  • Bank Statements: Recent bank statements show your financial transactions and help to verify your financial history and reliability over time.
  • Tax Returns: Providing your last few years of tax returns can be helpful for establishing income and financial standing, particularly for loan applications or government assistance programs.
  • Credit Report: A copy of your credit report may be required as part of certain applications. It helps lenders assess how reliable you are in managing your debts and financial obligations.
  • Affidavit of Residency: This sworn statement can confirm where you live, particularly in situations where formal documentation may not be readily available, like in shared housing scenarios.

Collecting these documents can streamline various processes, from opening a bank account to applying for services or benefits. Each serves a unique purpose but all contribute to establishing your identity and credibility in different contexts.

Similar forms

  • Lease Agreement: A lease agreement outlines the terms between a landlord and tenant, including rent payment, duration, and property responsibilities. Like a utility bill, it serves as proof of residency and financial obligation.
  • Bank Statement: A bank statement details transactions within a set period. Similar to a utility bill, it provides evidence of financial activity and can confirm an individual's address.
  • Credit Card Statement: This document summarizes credit card transactions and balances. Like your utility bill, it serves to validate payments and can be an important reflection of a person’s financial history.
  • Insurance Policy: An insurance policy outlines the coverage and costs associated with protecting an asset or individual. It usually includes the insured’s address and similar to a utility bill, it indicates an ongoing financial commitment.
  • Government Correspondence: Correspondence from governmental agencies often includes addresses and confirms residency. Like a utility bill, this documentation is crucial in establishing identity and residency for various purposes.

Dos and Don'ts

When filling out a Utility Bill form, following guidelines can help ensure accuracy and efficiency. The following list highlights key do’s and don’ts to consider:

  • Do read the entire form carefully before starting to fill it out.
  • Do use clear and legible handwriting or type the information.
  • Do double-check all personal information, such as name and address.
  • Do provide your account number if applicable.
  • Don’t leave any required fields blank.
  • Don’t use correction fluid if you make a mistake; instead, neatly cross it out.
  • Don’t forget to sign and date the form before submitting it.

By following these guidelines, you can avoid common mistakes and ensure that your Utility Bill form is processed without delay.

Misconceptions

When it comes to the Utility Bill form, there are several misconceptions that can lead to confusion. Understanding the truth behind these myths can help ensure smoother communication and better compliance with necessary regulations.

  • Utility Bill Forms Are Only for Tenants: Many people think that these forms are exclusively for tenants who need to establish service. In reality, both new tenants and homeowners may need to fill out a Utility Bill form depending on service initiation or transfer.
  • Only One Utility Provider Exists: Some believe that there is only one utility provider for their area, but this is not the case. Various companies can supply services like electricity, gas, water, and internet; it's essential to research available providers.
  • Submitting the Form Guarantees Service Activation: People often assume that completing and submitting a Utility Bill form automatically activates their services. However, the activation process may take additional steps, such as verifying identity or financially securing the account.
  • Utility Bills Are Always Based on Actual Usage: It's a common belief that utility bills are always calculated based solely on actual consumption. However, some providers estimate usage based on historical data, especially if the meter reading isn’t available.
  • Once Submitted, No Changes Can Be Made: Some individuals think once they submit the Utility Bill form, it is final. Changes can often be made, but it's essential to contact the utility provider promptly to ensure necessary adjustments.

By clarifying these misconceptions, individuals can navigate the process more easily. Accurate information leads to better decisions and creates a smoother experience when dealing with utility services.

Key takeaways

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

  • Ensure that all required fields are completed accurately. Missing information can lead to processing delays.
  • Use clear and legible handwriting if filling out a paper version. Alternatively, consider submitting the form electronically if available.
  • Double-check personal and account information for errors. This includes your name, address, and the account number associated with the utility.
  • Attach any required documents as specified on the form. This may include proof of identity or previous utility bills.
  • Be mindful of submission deadlines. Late submissions might affect service or result in additional fees.
  • Keep copies of the filled form and any documents submitted for your records. This may be useful for future reference.
  • Familiarize yourself with the utility provider's policies regarding form submissions. Different providers may have unique requirements.
  • Contact customer service if you have any questions during the process. They can clarify uncertainties and provide assistance.