Utility Bill Payment Plans | NORTHSHORE GAS - Medical Certificate Program

Spanish

Submit a medical certificate from your doctor via fax, mail, or call for application assistance. Documents required: Medical certificate with the certifying Physician's or Board of Health office letter head and the following information; - Patient's name - Patient's service address - Statement that the patient resides at the premises - A statement that the disconnection of utility service will aggravate an existing medical emergency or create a medical emergency for the patient - Physician's name - Physician's business address - Physician's phone number - Physician's signature - The physician's stamp

No fee.

Antioch (Old Mill Creek), IL
Libertyville (Green Oaks), IL
Gurnee, IL
Lake Villa (Venetian Village), IL
Wheeling, IL
Libertyville (Mettawa), IL
Grayslake (Gages Lake), IL
Lake Villa (Lindenhurst), IL
Fort Sheridan, IL
Mundelein (Long Grove), IL
Lake Forest (Mettawa), IL
Waukegan (Beach Park), IL
Grayslake (Wildwood), IL
Lake Bluff (Knollwood), IL
Deerfield (Bannockburn), IL
North Chicago, IL
Lake Zurich (Long Grove), IL
Lincolnshire (Prairie View), IL
Round Lake (Round Lake Beach), IL
Antioch, IL
Wadsworth (Beach Park), IL
Highwood, IL
Buffalo Grove, IL
Lincolnshire (Half Day), IL
Russell, IL
Lake Forest (Green Oaks), IL
Waukegan (Park City), IL
Fort Sheridan (Highland Park), IL
Lake Bluff (Green Oaks), IL
Vernon Hills (Indian Creek), IL
Zion (Beach Park), IL
Vernon Hills, IL
Lincolnshire, IL
Deerfield (Riverwoods), IL
Lake Zurich (Hawthorn Woods), IL
Great Lakes (North Chicago), IL