If you or someone in your home has critical medical equipment powered by mains electricity or is reliant on electricity for reasons of age, health or disability, and disconnection of electricity may present a clear threat to your or their health or well-being, it is important you let us know. To speak with us about this or to authorise someone to speak on your behalf, e.g., a family member, a friend or a social agency, please call us on 0800 100 249.
Please ask your medical practitioner to complete and sign this form to confirm that you have a serious medical condition and are dependent on electricity for critical medical support. We’ll then place you on Simply Energy’s Medical Dependency Register. Please note that we are unable to guarantee a 24-hour continuous supply of energy. Please ensure you have a back-up plan in place in case of a power outage.
If you have any questions about this form, please call our team on 0800 100 249.