Nebraska Administrative Code
Topic - PUBLIC SERVICE COMMISSION
Title 291 - NEBRASKA PUBLIC SERVICE COMMISSION
Chapter 6 - PRIVATE WATER COMPANIES RULES AND REGULATIONS
Exhibit A

Universal Citation: 291 NE Admin Rules and Regs ch A
Current through March 20, 2024

(Date)

Private Water Company, Nebraska

NOTICE OF RATE INCREASE

All affected customers of the __________________ Water Company are hereby notified that increased rates will be effective (Date). Present and proposed rates by type of service are as follows:

Type of Service Present Rate Proposed Rate

All affected customers are hereby notified that said rates are not subject to approval by the Nebraska Public Service Commission unless petitions signed by twenty-five percent (25%) or more of the customers are received by the Commission before the effective date shown above. At the present time, the company serves _______________ affected customers. Petitions must be in the following form:

TO THE NEBRASKA PUBLIC SERVICE COMMISSION

The undersigned customers of the _________________ Water Company do hereby petition the Nebraska Public Service Commission to determine rates in lieu of those proposed by the water company:

Date Printed Name Subscriber's Signature Address Telephone Number

Each signature shall be dated and shall be that of the customer or the customer's spouse. If a business, the name shall be included with the signature of an officer or agent. Each petition may be signed by one or more customers and shall be mailed to the Nebraska Public Service Commission, Post Office Box 94927, Lincoln, NE 68509-4927.

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