Second Party Notification

Help us help someone you love. Due to illness, disability, or being away for extended periods of time, some of our member-consumers are unable to manage their financial affairs in a timely manner. Our Second-Party Notification program permits these members to designate a second party who will be notified of past-due bills. Naturally, the second party is in no way obligated to pay the bill. Please complete the form below.

Second Party Notification Form (PDF)

Member Name(Required)

Second Party To Be Notified

This field is for validation purposes and should be left unchanged.