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Six Month Notice To Transfer To Direct Access Service
This completed form notifies Pacific Gas and Electric Company (PG&E) of your intent to transfer your
service agreement(s) to direct access (DA) service. You will receive confirmation from PG&E within ten
business days that will specify the date your Energy Service Provider (ESP) must submit a Direct Access
Service Request (DASR) to PG&E in order to complete the transfer of your service agreement(s) to DA
service. This is important information that you will need to provide to your ESP to complete your request.
This date is significant because if PG&E does not receive a DASR by this date, your service agreement(s)
will be switched to Transitional Bundled Service (TBS) for a period of up to 60 days. If a DASR is not
received by the end of this 60 day period, then your six month notice to return to DA service will be
cancelled, and the cancellation will serve as your six month notice to return to bundled portfolio service.
You will remain on TBS for a period of six months and then begin a new three year commitment period on
bundled portfolio service.

I.   Please take the following action on the service agreement(s) listed in Section II below
     Consider this my six month notice to transfer the service agreement(s) listed below to DA service. I
     understand that my Energy Service Provider must submit a Direct Access Service Request (DASR) on
     my behalf prior to the specified date in order to complete the transfer. I understand the rules and
     conditions as set forth in PG&E’s Rule 22.1 pursuant to California Public Utilities Commission
     (CPUC) Decision 03-05-034 and CPUC Resolution E-4006. Once received by PG&E, this Six Month
     Notice To Transfer To Direct Access Service form may be rescinded within three business days by
     contacting PG&E at (800) PGE-5000. I understand that after the three business days have elapsed, this
     notice is irrevocable.

     * Please note that customers on Demand Response programs Critical Peak Pricing (CPP), Scheduled
     Load Reduction Program (SLRP) and Base Interruptible Program (BIP) are not eligible for these
     programs under DA service.

II. Service Agreement(s) Included In This Notice
    1. Service Agreement Number: _________________________________________
    2. Service Agreement Number: _________________________________________
    3. Service Agreement Number: _________________________________________

     (For more than three service agreements, please list the additional service agreements on a separate
     sheet and attach it to this form)

III. Customer Signature
     On Behalf Of: _______________________________________________________
                                                    (Company Name)
     BY: _______________________________________________________________
                                                    (Authorized Signature)
     ___________________________________________________________________
                                                    (Type or Print Name / Title)
     ________________________________                        _______________________________
                       (Date Signed)                                         (Daytime Telephone No.)


IV. PG&E Reply Information
    This Six Month Notice To Transfer To Direct Access Service form can be returned to PG&E by either
    United States mail or FAX.
    Mailing Address:                                 FAX:
    Pacific Gas and Electric Company                Pacific Gas and Electric Company
    Attention: DAASU                                Attention: DAASU
    P.O. Box 8329                                   (209) 476-7698
    Stockton, CA. 95208

                                                                                                  Form 79-1077
                                                                                          Tariffs & Compliance
                                                                                           Effective 8/14/2006

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Sixmonthnoticetotransfertodirectaccessservice

  • 1. Six Month Notice To Transfer To Direct Access Service This completed form notifies Pacific Gas and Electric Company (PG&E) of your intent to transfer your service agreement(s) to direct access (DA) service. You will receive confirmation from PG&E within ten business days that will specify the date your Energy Service Provider (ESP) must submit a Direct Access Service Request (DASR) to PG&E in order to complete the transfer of your service agreement(s) to DA service. This is important information that you will need to provide to your ESP to complete your request. This date is significant because if PG&E does not receive a DASR by this date, your service agreement(s) will be switched to Transitional Bundled Service (TBS) for a period of up to 60 days. If a DASR is not received by the end of this 60 day period, then your six month notice to return to DA service will be cancelled, and the cancellation will serve as your six month notice to return to bundled portfolio service. You will remain on TBS for a period of six months and then begin a new three year commitment period on bundled portfolio service. I. Please take the following action on the service agreement(s) listed in Section II below Consider this my six month notice to transfer the service agreement(s) listed below to DA service. I understand that my Energy Service Provider must submit a Direct Access Service Request (DASR) on my behalf prior to the specified date in order to complete the transfer. I understand the rules and conditions as set forth in PG&E’s Rule 22.1 pursuant to California Public Utilities Commission (CPUC) Decision 03-05-034 and CPUC Resolution E-4006. Once received by PG&E, this Six Month Notice To Transfer To Direct Access Service form may be rescinded within three business days by contacting PG&E at (800) PGE-5000. I understand that after the three business days have elapsed, this notice is irrevocable. * Please note that customers on Demand Response programs Critical Peak Pricing (CPP), Scheduled Load Reduction Program (SLRP) and Base Interruptible Program (BIP) are not eligible for these programs under DA service. II. Service Agreement(s) Included In This Notice 1. Service Agreement Number: _________________________________________ 2. Service Agreement Number: _________________________________________ 3. Service Agreement Number: _________________________________________ (For more than three service agreements, please list the additional service agreements on a separate sheet and attach it to this form) III. Customer Signature On Behalf Of: _______________________________________________________ (Company Name) BY: _______________________________________________________________ (Authorized Signature) ___________________________________________________________________ (Type or Print Name / Title) ________________________________ _______________________________ (Date Signed) (Daytime Telephone No.) IV. PG&E Reply Information This Six Month Notice To Transfer To Direct Access Service form can be returned to PG&E by either United States mail or FAX. Mailing Address: FAX: Pacific Gas and Electric Company Pacific Gas and Electric Company Attention: DAASU Attention: DAASU P.O. Box 8329 (209) 476-7698 Stockton, CA. 95208 Form 79-1077 Tariffs & Compliance Effective 8/14/2006