Privacy Compliance - FOR PRIVACY COMPLIANCE, I (WE) AUTHORIZE CONSUMERS ENERGY TO CHANGE THE ELECTRIC ACCOUNT(S) NOTED ABOVE TO REFLECT THE CHANGES MARKED ABOVE. CHANGE REQUESTS BECOME EFFECTIVE WHEN THIS FORM IS SUBMITTED TO CONSUMERS ENERGY.

Signature Disclosure - For the purpose of Consumers Energy online forms, when the word(s) "signature" "member signature" "joint member signature" or "signature of responsible party" appears, a typed, legal name is an acceptable substitute. As long as the complete, legal name appears in each blank for which a signature was requested, the form is accurate and binding (pending accurate completion of all other form sections). It is not necessary to print and sign the form if users plan on submitting the form electronically. I agree that my electronic signature on this agreement/document has the same effect as a signature signed in ink.