Medical Equipment Alert Registration
Contact Info
Medical Equipment Alert Registration

The Department of Public Utilities maintains a voluntary medical equipment alert program. We ask customers who choose to participate to notify us if individuals reside at their residence who are on electrically powered life sustaining medical equipment for the preservation of health or life. This information helps us to identify individuals with special notification requirements of planned utility outages and assists us in prioritizing repairs for unplanned outages. 

Once enrolled, we will attempt to provide special notification above normal notification procedures to a household member when a planned power interruption is scheduled. Customers will be notified once each year to re-enroll.  At that time, any customers who have been in the database for more than one year who do not re-enroll will be removed from the notification list. To update or cancel enrollment, please call us at (505) 662-8333. 

Although we work hard to maintain and improve the reliability of the electric system, we cannot guarantee that a power outage will never occur. It is the responsibility of the care giver to have a back-up system and/or a plan of action in the event of a power outage. For more information call us at (505) 662-8333.

Please do not provide the name, condition or medical need related to your request, as such information is protected under the Health Insurance Portability and Accountability Act (HIPPA).

Enrolling is easy.  Complete the information below and hit submit. 


I hereby certify that I am the person responsible for the charges for utility services at the address indicated below.  I certify that a person resides at this address who uses electrically powered life sustaining medical equipment.  I understand that this certification does not relieve me of the responsibility to pay my bill and that I need to inform the Department of Public Utilities when electrically powered life sustaining equipment is no longer used at this service address.

I understand and agree that the information below is for informational purposes only and shall not be construed under any circumstances to create any special duty or relationship of anykind between the undersigned and the DPU to provide services beyond those afforded to the general public. 

TODAY'S DATE:

NAME OF PERSON SUBMITTING FORM:
(This does not indicate that you are the person with the medical need or condition.)

CUSTOMER ID:
(This number begins with a "2" on your utility bill)

ACCOUNT NO:
(This number begins with a "3" on your utility bill)

PHONE NUMBER:

ALTERNATE PHONE NUMBER

EMAIL ADDRESS

ALTERNATE EMAIL ADDRESS

PHYSICAL STREET # AND APT #

STREET NAME

 



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