Life Support Alert Application

BPUB will not process the Life Support application unless submitted by Fax or e-mail by the physician.

Residential customers who have someone permanently residing in their home and have been diagnosed by a physician as being dependent on an electric-powered device to prevent impairment of a major life function or to sustain life may use the Life Support Alert form to request special disconnect notification provisions.

  • Chronic condition or critical care status does not guarantee an uninterrupted, regular, or continuous power supply. If electricity is a necessity, customers must make other arrangements for on-site backup capabilities or other alternatives in the event of loss of electric service.
  • Customers are responsible to inform BPUB of any updates to their contact information, primarily the most current phone number and mailing address.
  • The submitted application is only valid until June 1 and must be renewed on an annual basis.
  • For questions about this form, please call the Brownsville Public Utilities Board at
    956-983-6134 during normal business hours.