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Life Support Listing Request

We understand that electricity is a lifeline for family members or friends who use medical life-support equipment such as respirators, oxygen concentrators, home dialysis, or other equipment for human life-threatening medical conditions. Itasca-Mantrap maintains a listing of members who require medical equipment to sustain life and will attempt to notify them prior to a planned outage. If you haven’t notified Itasca-Mantrap of your use of life-support medical equipment and wish to be placed on the Life-Support List, please call our office to request a Life-Support List form. You will be added to the list upon receipt of the completed form and supporting documentation such as a letter or prescription from your doctor or other health care provider. Please also let us know if you no longer need this special consideration so our list remains current.

If you haven’t notified Itasca-Mantrap of your use of life-support medical equipment and wish to be placed on the Life-Support List, please fill out the Life-Support List form, sign and mail to Itasca-Mantrap with supporting documentation from your health care provider.

Life-Support List form

 

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