Form PSC-801 Certification of Serious Illness or Life Support and / or Permission for Utility to Release Contact Information in a Weather-Related Emergency - Maryland

What Is Form PSC-801?

This is a legal form that was released by the Maryland Department of Human Services - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form PSC-801?
A: Form PSC-801 is a certification form used in Maryland for serious illness or life support and permission for utility to release contact information in a weather-related emergency.

Q: What is the purpose of Form PSC-801?
A: The purpose of Form PSC-801 is to certify the need for serious illness or life support equipment in case of a utility interruption due to a weather-related emergency in Maryland.

Q: Who can use Form PSC-801?
A: Form PSC-801 can be used by individuals in Maryland who have a serious illness or require life support equipment and want to ensure they are prioritized in case of a utility interruption due to a weather-related emergency.

Q: What information does Form PSC-801 require?
A: Form PSC-801 requires information such as the customer's name, address, contact information, description of the serious illness or need for life support equipment, and permission for the utility company to release contact information to emergency response agencies.