Physician, PA or licensed practitioner certifies that a resident's medical condition would be aggravated by loss of electric service, stopping disconnection for 60 days (once per 12 months; 83 Ill. Adm. Code 280.160).
- Completed by
- Licensed physician, physician assistant or licensed practitioner (or local Board of Health)
- Issued by
- Commonwealth Edison Company (ComEd)
- Format
- Fillable PDF
- Language
- English and Spanish