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Forms and requests

Customer forms

Need to complete and send a form to our customer service department? Below you'll find a list of our most common forms.

Send us a message if you don't see the form you need.

Certificate of medical extension

The certificate for medical extension must be completed by a doctor's office. If approved, collection activity will be postponed on the customer’s account due to medical certification.

Download the certificate for medical extension (PDF)


Additional forms

Customer refund
Submit a new service request