Medical Certificate Form | Aqua America
762 W Lancaster Ave., Bryn Mawr, PA 19010
Voice - voice | Customer Service
Phone the toll-free Customer Service number M-F: 8:00am-5:00pm or visit the website for information and to download the Medical Certificate form (form must then either be mailed or faxed to agency - address for mail is on the website).
No fee to apply. It does not reduce the amount the household owes.
Summit County, Ohio
Preble County, Ohio
Stark County, Ohio
Williams County, Ohio
Pike County, Ohio
Franklin County, Ohio
Seneca County, Ohio
Ashtabula County, Ohio
Lawrence County, Ohio
Lake County, Ohio
Richland County, Ohio
Morrow County, Ohio
Auburn Township, Ohio
Mahoning County, Ohio
Trumbull County, Ohio
Marion County, Ohio
Description
Customers with severe health problems may have their physician or nurse practitioner submit written confirmation that the customer or someone else living at the property has a medical condition that would be aggravated if Aqua shut off the water (usually for non-payment). Once received by Aqua, a valid medical certificate gives the customer 30 days to pay the bill or to make payment arrangements.
Data provided by
211 Cleveland
Providing organization
Aqua America
Provides water service in in 18 states, including some counties in Ohio.