If you are an assisted living residence, community residence facility or a nursing facility, please complete this form and return to the address below. If you are ill, unable to manage your own business affairs or plan to be away from home for an extended period of time, you may designate a relative, friend, member of the clergy or other third party to receive a copy of your disconnection notice for non-payment.
The third party has no legal responsibility or obligation to pay the bill. However, that person can arrange payment of your bill or talk with our customer service representatives on your behalf.
If you would like to participate in this program, please complete this
form and return it to:
Pepco Credit Department701 Ninth St., NWWashington, DC 20068
Please note that both parties involved must sign the
form. If you have any questions regarding the application or the program, please call 202-833-7500 or