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Life Support Program Form

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  1. Forms
  2. Life Support Program Form

Life Support Program Enrollment

This enrollment form is to be completed by the member of record and a registered attending physician. Once enrolled, BCREA will attempt to notify prior to scheduled interruptions in electric service for the area due to repairs, upgrades to our system, etc. Completion of this form does NOT allow for priority in restoration of utility services and does NOT prevent disconnection for non-payment. If the individual using life-support equipment cannot be without power for any reason, BCREA recommends developing alternate care plans. Please consult with your physician and/or medical equipment supplier regarding your particular medical needs.

 

BCREA exercises reasonable diligence in supplying continuous electrical services. Under no circumstance is the cooperative a guarantor or insurer of uninterruptible service. For example, there are numerous situations where conditions beyond our control can result in power outages. All service is restored following an interruption as soon as practical. BCREA will not be liable for any injury, loss or damage resulting from interruption, shortage or insufficiency of service or irregularities of service.

 

Please click here to fill out the form.

  • Home
  • About Us
    • About Your Cooperative
    • About Touchstone Energy
    • Our History
    • Board of Directors
      • Board of Directors
      • Map Of Districts
    • By-Laws & Articles of Incorporation
    • Our Mission, Vision, and Values
    • The Seven Cooperative Principles
    • BCREA Staff
    • Employment Opportunities
    • Service Area Map
    • Member Handbook
  • Calendar
  • Customer Service
    • Billing
    • Billing Statement Explained
    • Bill Pay
    • Budget Billing
    • Capital Credits
    • Payment Options
    • Unclaimed Property
  • Resources
    • Energy Assistance
    • Newsletters
    • MN Cold Weather Rules
    • Outage Texting Registration
    • Conservation Tips
    • Touchstone Energy Brochures
    • Safety
    • Electrical Safety Checklist
    • Storm Center/Outage Map
    • Webpage Links
  • Programs & Services
    • Distributed Energy Resources
    • Heartland Security
    • Load Management Programs
    • Operation Round Up
    • Rebates
    • TV Services
    • Yard Lights
    • Youth Tour
    • 811 Call Before You Dig
    • Electric Vehicles
  • Forms
    • ACH Authorization Form
    • Agricultural Exemption Form ST3
    • BCREA MN Cold Weather Form
    • CTV Enrollment Form
    • Credit/Debit Card Authorization Form
    • LED Yard Light Rental Program
    • Life Support Program Form
    • Operation Round-Up Form
    • Residential Heat Exemption Form
    • Update My Information
    • Wellspring Sign-Up
  • Contact Us
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Contact Info

Brown County Rural Electric
24386 State Hwy 4
Box 529
Sleepy Eye, MN 56085
1-800-658-2368
507-794-3331

 

 

Mission

To safely provide our members with electric service at the lowest possible cost, consistent with sound business practices.

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  • Home
  • About Us
    • About Your Cooperative
    • About Touchstone Energy
    • Our History
    • Board of Directors
      • Map Of Districts
    • By-Laws & Articles of Incorporation
    • Our Mission, Vision, and Values
    • The Seven Cooperative Principles
    • BCREA Staff
    • Employment Opportunities
    • Service Area Map
    • Member Handbook
  • Calendar
  • Customer Service
    • Billing
    • Billing Statement Explained
    • Bill Pay
    • Budget Billing
    • Capital Credits
    • Payment Options
    • Unclaimed Property
  • Resources
    • Energy Assistance
    • Newsletters
    • MN Cold Weather Rules
    • Outage Texting Registration
    • Conservation Tips
    • Touchstone Energy Brochures
    • Safety
    • Electrical Safety Checklist
    • Storm Center/Outage Map
    • Webpage Links
  • Programs & Services
    • Distributed Energy Resources
    • Heartland Security
    • Load Management Programs
    • Operation Round Up
    • Rebates
    • TV Services
    • Yard Lights
    • Youth Tour
    • 811 Call Before You Dig
    • Electric Vehicles
  • Forms
    • ACH Authorization Form
    • Agricultural Exemption Form ST3
    • BCREA MN Cold Weather Form
    • CTV Enrollment Form
    • Credit/Debit Card Authorization Form
    • LED Yard Light Rental Program
    • Life Support Program Form
    • Operation Round-Up Form
    • Residential Heat Exemption Form
    • Update My Information
    • Wellspring Sign-Up
  • Contact Us