Con Edison asks households where someone uses life-support equipment, or where a resident has a serious illness, to register so it can reach them in an emergency or power outage and apply New York's HEFPA shutoff protections. A medical doctor, nurse practitioner, physician assistant or local board of health official certifies the condition and equipment. The same PDF serves as Con Edison's Certification of Medical Emergency form.
The customer provides account and household details. The medical professional completes Step 3, the medical verification: condition, equipment, license and signature; the fillable PDF includes e-signature fields.
Download the current version from the source each time; forms change without notice.
Life-Support Equipment Form
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A medical doctor, nurse practitioner, physician assistant, or local board of health official. The professional completes the medical verification step with the patient's condition, the equipment used, their license information and signature. The certification must reach Con Edison within 30 days of receiving the customer's information.
Yes. Con Edison links the same PDF as both the Life-Support Equipment Form and the Certification of Medical Emergency form. A medical emergency covers a resident with a serious illness, while life-support registration covers household members who use life-support equipment.