§ 5144

Uniform notice form The notice form required under section 5143 of this chapter, and defined in section 5142 of this chapter, shall be clearly printed on a pink colored sheet of paper and shall be according to the following form: Dear Customer:SPECIAL CHARGES—24 V.S.A. § 5151 provides that we charge a fee for coming to your location to collect the amount overdue. Also, the same statute provides that we shall charge a reconnection fee for restoration of service if your service has been disconnected for nonpayment. These fees are as follows: If payment has already been sent, we recommend that you contact our office to make certain that payment is recorded on your account by the indicated date as such payment may have become delayed or lost in the mail. Payment in the mail does not constitute payment until received by us. THIS IS A FINAL REQUEST FROM:(Name of Credit Supervisor)(Name of Municipality)(Address of Municipality)(Town)Vermont (Zip Code)(Telephone Number)OTHER IMPORTANT INFORMATION—If you have a question concerning this bill or if you want to seek an agreement with us to pay the balance due in partial payments over a period of time, you should contact this office as

INFORMATION—If you have a question concerning this bill or if you want to seek an agreement with us to pay the balance due in partial payments over a period of time, you should contact this office as soon as possible after receipt of this notice. In the event an agreement is entered into, failure to abide by the terms of agreement can lead to disconnection without further notice. If disconnection would result in an immediate and serious health hazard to you or to a resident within your household, disconnection will be postponed upon presentation of a duly licensed physician’s certificate. APPEALS—If you cannot reach agreement as to payment of this bill with the credit supervisor whose name appears above, you may appeal to: (Name of Chairman of the Local Legislative Body)(Name of Town, City or Village)(Address of Office)(Mailing Address)or by calling:(Telephone Number)An appeal cannot be taken unless you first attempt to settle with the credit supervisor. You may appeal only as to the proper amount of your bill or the correctness of application of the rules and regulations. You may not appeal as to the level or design of the rates themselves. No charge shall be made for the appeal.

roper amount of your bill or the correctness of application of the rules and regulations. You may not appeal as to the level or design of the rates themselves. No charge shall be made for the appeal. However, undisputed portions of the charges giving rise to this notice must be paid before the disconnection date given above. (Name of Chairman of the Local Legislative Body)(Name of Town, City or Village)(Address of Office)(Mailing Address)or by calling:(Telephone Number)or by emailing:(Email Address)