[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-304669-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-304669-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","southern-california-edison-company-state-tax-exempt-self-certification-affidavit-energy-resources-surcharge-exemption","Southern California Edison Company State Tax Exempt Self-Certification Affidavit - Energy Resources Surcharge Exemption","","Southern California Edison provides a State Tax Exempt Self-Certification Affidavit for customers seeking exemption from California’s Energy Resources Surcharge tax on electricity consumption purchased from an electric utility. The form collects a customer’s declaration under penalty of perjury, selecting applicable exemption criteria such as U.S. governmental entities, the American Red Cross, specific insurance companies, banks, diplomatic personnel, and federal credit unions. It also captures account details, signature information, and submission instructions by postal mail, email, or fax.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/southern-california-edison-company-state-tax-exempt-self-certification-affidavit-energy-resources-surcharge-exemption/304669/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/southern-california-edison-company-state-tax-exempt-self-certification-affidavit-energy-resources-surcharge-exemption/304669.png","ImageObject",442,249,{"name":42,"@type":43},"Ophelia","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-28","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":30},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"Who can use the affidavit to self-certify exemption from the Energy Resources Surcharge?","Question",{"text":62,"@type":63},"Certain customers who qualify for California state tax exemption may use the form to self-certify they are exempt from paying the Energy Resource Surcharge.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What information must be completed in the customer declaration section?",{"text":67,"@type":63},"The customer must certify qualification as California state tax exempt by selecting applicable criteria and provide a sworn declaration, including witness knowledge, understanding of accuracy requirements, and an executed date and location.",{"name":69,"@type":60,"acceptedAnswer":70},"How should the completed affidavit be submitted to Southern California Edison?",{"text":71,"@type":63},"The affidavit can be returned by postal mail, email, or fax to Southern California Edison, Attn: CBO / IBC, with the provided email and fax details.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},304669,1790190996,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":22},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","Southern California Edison Company State Tax Exempt Self-Certification Affidavit  \nCalifornia imposes the Energy Resources Surcharge tax on the consumption of electrical energy purchased from an electric utility. (Rev. C. 40018) Certain customers are exempt from paying this tax (CCR 2316) . If you qualify as an exempt customer, you may use this form to self-certify that you are exempt from payment of the Energy Resource Surcharge.  \nI. Customer Declaration  \nI,   (customer name) certify that I qualify to be California State Tax exempt based on the following criteria (please select applicable criteria):  \n􀂅 The United States, its unincorporated agencies and instrumentalities  \n􀂅 Any incorporated agency or instrumentality of the United States wholly owned by either the United States, or by a corporation wholly owned by the United States  \n􀂅 The American Red Cross, its chapters and branches  \n􀂅 Insurance companies, including title insurance companies, subject to taxation under California Constitution, Article XIII, Section 28  \n􀂅 Banks, including national banking associations, located within the limits of this state. The exemption for state banks and national banking associations has been repealed beginning with the bank’s income year for Bank and Corporation Tax purposes commencing on or after January 1, 1981. The surcharge shall be collected by the electric utility from each sates bank and each national banking association beginning with the first regular billing period applicable to that bank which commences on or after the date the bank becomes subject to the surcharge  \n􀂅 Career consular officers and employees of certain foreign governments who are exempt from tax by treaties and other diplomatic agreements with the United States  \n􀂅 Federal credit unions organized in accordance with the provisions of the Federal Credit Union Act  \nI have personal knowledge of the matters set forth herein and, if called upon as a witness, could and would testify competently thereto.  \nI understand that, notwithstanding my signature below, if the information provided by me is inaccurate, SCE will not consider me to be immune from the Energy Resources Surcharge.  \nI declare, under penalty of perjury under the laws of the State of California, that the foregoing is true and correct.  \nExecuted this (date)   day of (month)   ,(year)   at (City)   ,(State)    \n\n| Printed Name |\n| --- |\n| Signature |\n| Title |\n\nDate  \nII. Customer Account Information  \nName on Account:  Current Service Account Number(s):  Service Address:  City, State, Zip:  Meter Number(s):   \nIII. SCE Reply Information  \nPlease return the completed affidavit by postal mail, email or fax:  \nSouthern California Edison [Email:](Email: StateTax.Billing@sce.com)[ ](Email: StateTax.Billing@sce.com)[StateTax.Billing@sce.com](Email: StateTax.Billing@sce.com) Fax: (626) 543-7321  \nAttn: CBO / IBC  \nP.O. BOX 800  \nRosemead, CA 91770","cbCaihSZMxyPLVVf","https://ap.wps.com/l/cbCaihSZMxyPLVVf","pdf",85599,"English","# I. Customer Declaration\n## II. Customer Account Information\n## III. SCE Reply Information","[{\"question\":\"Who can use the affidavit to self-certify exemption from the Energy Resources Surcharge?\",\"answer\":\"Certain customers who qualify for California state tax exemption may use the form to self-certify they are exempt from paying the Energy Resource Surcharge.\"},{\"question\":\"What information must be completed in the customer declaration section?\",\"answer\":\"The customer must certify qualification as California state tax exempt by selecting applicable criteria and provide a sworn declaration, including witness knowledge, understanding of accuracy requirements, and an executed date and location.\"},{\"question\":\"How should the completed affidavit be submitted to Southern California Edison?\",\"answer\":\"The affidavit can be returned by postal mail, email, or fax to Southern California Edison, Attn: CBO / IBC, with the provided email and fax details.\"}]","Southern California Edison Company State Tax Exempt Self-Certification Affidavit - Energy Resources Surcharge Exemption | PDF",1789815900]