SC Edison Assistance Center Request Form

Customer Information Form – Disaster Support

Contact Information: Please provide your best contact information in case we need to reach you during the disaster

* Denotes a required field.

* First Name

M. Initial

* Last Name

Suffix

* Mailing Address

Street

City

State

Zip Code

* Best contact phone number (Note: Cell phone number is preferred if you would like to receive text messages)

* Email Address:

* Please indicate your contact preference: Phone Email Mail Text (must provide a Cell Phone Number for Question 3)

SCE Account Information: Please complete this section to the best of your ability

Same as Contact Information

SCE Account Holder:

* First Name

M. Initial

* Last Name

Suffix

Same as Mailing Address

* Service Account Address (i.e. the address where you receive your SCE electric service)

Street

City

State

Zip Code

Please list any additional addresses on your property

Disaster Details: Please complete this section to the best of your ability

* What recent disaster were you impacted by?

Hurricane Hilary (Fresno County, Imperial County, Inyo County, Kern County, Los Angeles County, Orange County, Riverside County, San Bernardino County, San Diego County, Tulare County, and Ventura County)

December 2023 - January 2024 Winter Storms (Ventura County)

January 2024 Winter Storms (Los Angeles County)

February 2024 Winter Storms (Los Angeles County, Orange County, Riverside County, San Bernardino County, Santa Barbara County, Ventura County)

Optional: Please feel free to provide any additional details or comments you would like to share with us: