Medical Certificate Form | Aqua America
762 W Lancaster Ave., Bryn Mawr, PA 19010
M-F: 8:00am-5:00pm.
voice | Customer Service
fax | Fax - Medical Certificate
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
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.
211 Cleveland
Aqua America
Provides water service in in 18 states, including some counties in Ohio.