If someone in your household depends on electric-powered medical equipment to sustain life or prevent impairment of a major life function, BPUB’s Life Support Alert Program helps ensure we have the right contact information on file and can provide special disconnect notification provisions for eligible residential accounts.
BPUB will not process the Life Support application unless it is submitted by fax or email directly 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.
How to enroll
- Download the Life Support Alert Application.
- Complete the customer portion of the form.
- Have the patient’s physician complete the medical portion and submit the application to BPUB by fax or email.
- Renew the application each year (applications are valid only until June 1).
Important reminders
- Life Support Alert 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 for informing BPUB of any updates to contact information, including 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.
Questions
For questions about this form, please call the Brownsville Public Utilities Board at 956-983-6134 during normal business hours.
