Minnesota Cold Weather Rule - 3rd Party Request Form

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This third party request form can be completed and submitted online here or print and complete the request form below and mail as soon as possible to:

CenterPoint Energy,
P.O. Box 59038,
Minneapolis, MN
55459-9687

In the event that a Notice of Proposed Disconnect is issued for the account listed below, CenterPoint Energy also will send a copy to the named third party at the address listed. CenterPoint Energy assumes no liability for failure of the third party to receive or act upon the notice.

Third party notice request form

1Customer Information

* First name

* Last name

* Telephone Number

* Email address

* Street address

* City

* State

* Zip code

* Account Number from bill

Customer Electronic Signature Authorization I agree that CenterPoint Energy may give information to, and accept information from, the person named below.

I understand and agree to the utilization of electronic signing.

2Third Party Information

* First name

* Last name

* Telephone Number

* Street address

* City

* State

* Zip code

Third Party Electronic Signature Authorization

I understand and agree to the utilization of electronic signing.

CenterPoint Energy: 612-372-4680 or 800-729-6164

TDD/TTY hearing-impaired service: 7-1-1 to have the TDD operator service place a collect call to CenterPoint Energy

MN Cold Weather Rule - Third Party Request