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Payment Services

Extended Payment Plan Enrollment Form

Pepco's Extended Payment Date Plan is for residential customers whose main source of total household income is from government or other low-income entitlement programs. Because assistance income may not arrive until around the 1st day of each month, a qualified residential customer who has an electric bill due date that expires before the 5th day of the month following the month in which the bill is rendered, may request an extension of the due date. The new due date would be the 5th day of that following month, and the customer would not have to pay a late charge on that electric bill.

To apply for our Extended Payment Due Date Plan, simply contact Pepco by phone at (202) 833-7500 or complete and submit the enrollment form below.

Extended Payment Date Plan Enrollment Form


Contact Information:

(10 or 12 digits)

(xxx-xxx-xxxx)

(xxx-xxx-xxxx)


Service Address

(xxxxx or xxxxx-xxxx)


Sources of Household Income

My main sources of household income come from


I normally receive my check on this day of the month.


Pepco can verify the above information with:

(xxxxx or xxxxx-xxxx)

(xxx-xxx-xxxx)


Agreement

I understand that all amounts due, except my current months charges, must be paid in full before my application will be accepted. I am enclosing the following in payment of all outstanding arrears on my account.


 I agree with the above

(box must be checked in order
to apply for this plan)


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Agreement check box must be checked in order to apply for this plan


 Note: * Items are required