Eversource Energy fax number

Fax destination details

Department

Credit & Collections

Purpose

Medical Shut-Off Protection – submission of the Certification of Illness Form by a physician/APRN/PA to Eversource Energy Credit & Collections; form is faxed to 1-800-238-4067.

Form

Medical Certification of Illness Form — Medical Certification of Illness Form for Eversource Residential Customers

Address

Eversource Energy c/o Credit & Collections, 1985 Blue Hills Ave Ext., Windsor, CT 06095

Voice phone

1-800-286-2828

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Physician/APRN/PA completes the form and returns it by fax to Eversource Energy c/o Credit & Collections at 1-800-238-4067, Windsor, CT 06095. This form must be completed every 15 days if no length of illness is specified and must be recertified at least annually.

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