Bill Copy Request Use this form to request a copy of a single bill or a 12 month utility history. *Member Name: *Member Account Number: Please enter either the last 4 digits of your Social Security Number (SSN), or your Employer Identification Number (EIN). *Last 4 Digits of SSN or EIN: Would you like a copy of a single monthly bill (specify date below) or a 12-month utility history? Single month bill or 12 Month history?: Single Monthly Bill 12 Month Utility History Bill Date: *Email Address: Comments:
