Do you depend on Life Support Equipment?

We Need to know

If you or a family member depend on Life Support Equipment, Please download and print a copy of the form attached to the link below.

You will need to print the form and have it signed by your Doctor.

Mail the completed form to:

Prairie Land Electric Cooperative

Attn: Life Support Form

P.O. Box 360

Norton, KS. 67654

Click Here To Download Life Support Form

This form is provided in PDF format. If you do not have the
   Adobe Acrobat viewer (necessary to view PDF files), a free Adobe Acrobat
     Viewer may be downloaded by visiting the Adobe Internet Site.

To get your free copy of Adobe Acrobat Click Here

 

  E-Mail  ple@prairielandelectric.com