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If for any reason you are unable to respond to a notice that your heating fuel deliveries might be terminated because of unpaid bills, our company provides a way to make sure that someone else – a “third party” – will be notified. This voluntary program is particularly helpful to those who are ill or elderly and live alone. It helps prevent unnecessary termination of deliveries. Choose a friend, relative, church group, community organization or a social services agency for us to notify. We will inform the “third party” that your heating fuel deliveries might be terminated.

The “third party” that you select will not be responsible in any way for your bill. You should choose someone who will get in touch with you after receiving the notice. This will enable the “third party” to help you resolve the problem.

If you wish to take advantage of this service, complete this form. If you are having difficulty paying your fuel bill and are having fuel-related emergencies, you may be eligible for a local fuel assistance program. For more information contact your local Department of Social Services.

HOD: 1313

Please Complete This Form & Thank You for Being a Mirabito Customer.

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Information of the third party (person or organization) to be notified:

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