Summary Billing Change Form

Please allow 1 to 2 business days to process your request.

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Master account number:

Business name:

Tax payer ID/Social Security No. (last 4 digits only):

C/O name:

Mailing address (Address that will receive summary billing):

Suite or unit number:

City / State / Zip:

Please enter your City.

Please enter your State.

Please enter your ZipCode.

Contact name:

Phone number:

Please enter your Phone Number area code.

Please enter your Phone Number suffix.

Please enter your Phone Number line number.

Alternate Phone:

Please enter your Phone Number area code.

Please enter your Phone Number suffix.

Please enter your Phone Number line number.

E-mail address:

Verify e-mail address:

SUMMARY BILLING AGREEMENT

The Summary Billing agreement is made between Tampa Electric Company ("Tampa Electric") and the Customer (the "Customer" is the person or business requesting Summary Billing by completing the online form) and outlines the terms and conditions of the conversion of Customer's ten or more multiple electric service accounts to Tampa Electric's Summary Billing Program.

The Program allows Customer to receive one Summary Billing statement per month rather than an individual monthly bill for each of Customer's electric service accounts. Statements are to be paid in full within 10 days of the statement date that appears on the summary bill. Should any billing errors be determined, the adjustment will be reflected on the bill that follows the determination of error.

Meter readings will not be consolidated for Customer's multiple electric service accounts at different premises, and each metered service will continue to be billed at the prescribed service schedule for such service account. Customers on Tampa Electric's Budget Billing, Share Programs, non-energy billing, or accounts with past due balances, are not eligible for this program.

The continuance of the Program is subject to the above conditions. Failure to comply with all conditions can result in the immediate removal of all Customer's accounts from the Program with written notice. The Customer may add or delete accounts to the Program within thirty (30) days prior written notification.

This Summary Billing Agreement is subject to the Rules, Regulations, and Rate Schedules for electric service on file with the Florida Public Service Commission, as presently effective or as amended in the future. Except as expressly provided herein, the terms and conditions of existing Contract(s) for Electric Power Service and other Agreement(s), if any, between Tampa Electric and Customer shall remain in full force and effect. This Agreement will remain in effect until terminated by either party. Thirty (30) days prior written notification of termination (unless otherwise stated above) is required.

Check the box if you have read and understand the above agreement.

IMPORTANT NOTICE ABOUT YOUR REQUEST: If you do not receive a confirmation e-mail after you have submitted this form, you may have provided an incorrect e-mail address or your spam filter, a system for blocking unwanted e-mail messages, may be switched on.


1	Account Number	Add/ Delete	Service Address (St Number \| St Name \| St Suffix \| Unit)