Application Form For Parties Wishing To Offer, Render, Furnish, Or Supply Electricity Or Electric Generation Services To The Public In The Commonwealth Of Pennsylvania Page 3
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31IMPORTANT AFFIDAVIT NOTE – Affidavits must be notarized. When an Affidavit is filed electronically, the
original Affidavit shall be filed in paper form immediately after the e-filing containing such Affidavit is made. The
Docket number for the filing must be clearly indicated on the original Affidavit.
Questions
-
Questions pertaining to completion of this application may be directed to the Bureau of Fixed Utility Services at
the above address or you may call the Bureau at the following number: (717)783-5242.
Cooperatives & Brokers
Electric Cooperative Corporations:
-
15 Pa. C.S. Ch. 74 provides for Electric Cooperative Corporations to be certified by the Commission rather
than licensed.
Electric Cooperative Corporations seeking certification should use the attached Application.
Commission Orders or Secretarial Letters issued in response to applications for certification will reflect the appropriate
language.
Brokers / Marketers / Aggregators
-
Applicants seeking to provide broker, marketer, or aggregator services must complete the attached
application. Commission Orders or Secretarial Letters issued in response to applications seeking to provide such
services will reflect appropriate language.
Confidentiality
All information disclosed within this application is considered public information unless specifically labeled
confidential. If any of your answers require you to disclose what you believe to be privileged or confidential information
not otherwise available to the public, you should designate at each point in the Application that the answer
requires you to disclose privileged and confidential information. You should then submit the information,
labeled in correspondence to the relevant section of the application, on documents stamped
"CONFIDENTIAL" at the top in clear and conspicuous letters and submit one copy of the information under
seal to the Secretary's Office along with the Application. For more information, see 52 Pa. Code § 54.32.
COVER PAGES END. PLEASE REMOVE BEFORE FILING.
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