Medical Emergency List FormNAED maintains a Medical Emergency List of customers who depend on electrically powered, life sustaining medical equipment in their homes. In the event of a power outage, restoring electricity to these homes is a priority. Fill out and submit the form below if you, a member or your household or a tenant is dependent on such medical equipment.Household InformationA member of our household depends on electrically powered life-sustaining medical equipment. Please add us to NAED's Medical Emergency List.Please remove the name below from the list. Life-sustaining medical equipment is no longer needed at this address.DateNameEmailAddressPhone numberAccount NumberType of life-sustaining equipmentDo you have a battery backup?YesNoDo you have a backup generator?YesNoOther comments:Security codeSubmit