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California American Water Company fax number

(618) 433-4499

Medical Certification

Used for: Submission of Medical Emergency Certificate for water service medical necessity

Fax destination details

Department
Medical Certification
Purpose
Submission of Medical Emergency Certificate for water service medical necessity
Form
ZZ_MEDICALCERT_CRM — Medical Emergency Certificate
Address
655 W. Broadway, Suite 1410, San Diego, CA 92101
Voice phone
1-888-237-1333

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Form must be completed by a licensed physician or nurse practitioner; fax the signed certificate to (618) 433-4499.

Official form instructions are published as a downloadable file on the organization's website.

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