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Get We Energies Medical Form Wisconsin

A 21-day extension to provide you with time to make payment arrangements on your account. Your extension expires on #Date1. When the extension expires, if adequate payment has not been made, further collection action will occur. This may include disconnection of service. To update our records, we ask that you and your physician complete the enclosed Medical Information Form and return it to us within 10 days. We also would like to discuss the importance of a back-up plan in the event of a powe.

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