Customer Account Services
Revised: April 2018
284 South Avenue
Poughkeepsie, NY 12601
(845) 452-2700
(800) 527-2714
Fax: (845) 486-5658
www.CentralHudson.com
Extra Security Plan (ESP) Enrollment Application
ESP provides eligible residential customers with an extended due date to the 6
th
of the month
following the normal bill due date. To be eligible for the program you must meet all of the
following requirements:
Be on a fixed income such as SSI, SSD, Survivor Benefits or a Pension (Proof of Benefit
Required) as your only source of household income.
Be current with your Central Hudson account or have an active Deferred Payment
Agreement for any outstanding past due balance.
The address listed below must be your primary residence.
In order to be considered for enrollment in ESP you must complete, sign, and return this
application to the address listed below. Important: You must provide a copy of your SSI, SSD,
Survivor Award Letter or Pension Benefit Statement.
Central Hudson Account#:______________________________________________________
Customer Name: ______________________________________________________________
Service Address: ______________________________________________________________
City: ______________________________ State:____ Zip:_____________________________
Phone Number: _______________________________________________________________
Date of Birth: ________________________________________________________________
Signature: ______________________________ Date: ____________________________
Once your application has been reviewed, you will be notified by mail whether your account has
been enrolled in Central Hudson’s Extra Security Plan program. If you have any additional
questions, please contact our Customer Service Department at 1-800-527-2714 or 845-452-2700.
Sincerely,
Customer Account Services