Domestic Violence Attestation

If you are a survivor of domestic violence, you have rights.

If you have experienced domestic violence, as a utility customer you have the right to opt out of an energy service contract that you share with an abuser. The law provides for those with joint accounts with an abuser to be released from the account without penalty as long as a written attestation is provided. Those released from joint contracts may be held responsible for arrears incurred up until the time their name is removed from a joint account. Below is the Domestic Violence Attestation Form to release you from a joint account.

However, because National Grid does not offer joint residential accounts, at any time residential customers can:

call and cancel residential utility service (for a single-family home) when the account is in their name, or
call and request service at a residence at any time without the former customer requesting a service turn off

If you have any questions or concerns, please call us at 1-800-930-5003. Monday-Friday, 8:00 a.m. to 8:00 p.m.

* indicates required fields

Personal Information Associated with this account.

Please Do Not Include Sensitive New Location Information.

Name of Domestic Violence victim

Address

City

State

Zip Code

Phone Number

Cell PhoneLandline

Cell Phone (Please enter a valid value in the format of 999-999-9999.)

Landline (Please enter a valid value in the format of 999-999-9999.)

National Grid Account Number (Please enter a valid value in the format of 12345-12345.)

Don't know your account number? It can be found on your bill or by logging into your account.

National Grid Service Region

Email Calculation

Please check either or both statements below as they apply to you:

I attest that I am a victim of Domestic Violence and under a shared National Grid contract which I am choosing to opt out of without fee, penalty or charge, due to safety concerns. I understand that I am closing the current National Grid account in my name and I will remain responsible for arrears incurred on the account up until my name is removed.I would like National Grid to contact me at the following email address to confirm whether I have or have not been removed from the account. (If this box is checked, National Grid will reply by email within 7 days.)

Contact Email

Welcome to our Long Island NY Home site.

Select Your Region

Massachusetts

New York

Domestic Violence Attestation