Oxygen Pump/Ventilator Assistance Program and Certification Form

The Oxygen Pump/Ventilator Assistance Program, established by rules of the Maine Public Utilities Commission, provides financial assistance to eligible low-income customers who must use an oxygen pump for at least eight (8) hours each day.
 
To apply for the benefit, please Click Here to open and download the form.  This form must be signed and dated by the patient’s physician, or the physician’s agent or designee. 
 
The form must be submitted to:
Info@klpd.org
 
or by mailing to:
Kenenbunk Light & Power District
4 Factory Pasture Lane
Kenenbunk, ME 04043

 

This Certification Must Be Renewed Annually