Get the free Authorized Utility Representative Form - dms psc sc

This form is used by telecommunications carriers for submitting the necessary representative information to the Public Service Commission.

How to fill out authorized utility representative form

How to fill out Authorized Utility Representative Form

1. Begin by downloading the Authorized Utility Representative Form from the utility company's website or request a paper version.
2. Fill in the name of the utility company at the top of the form.
3. Provide the account holder's personal information, including their name, address, and contact information.
4. Indicate the type of utility service (e.g., water, electricity, gas) the representative is authorized to manage.
5. Complete the section detailing the representative's information, including their name, address, phone number, and email.
6. Clearly state the extent of the authority being granted to the representative (e.g., full access, specific account inquiries).
7. Include the date when the authorization is effective and, if applicable, an expiration date for the authorization.
8. The account holder must sign and date the form to verify their approval.
9. Submit the completed form to the utility company according to their submission guidelines (via online upload, email, or mail).

Who needs Authorized Utility Representative Form?

1. The Authorized Utility Representative Form is needed by individuals who want to grant someone else the authority to manage their utility accounts, such as family members, agents, or property managers.

For pdfFiller’s FAQs

What is Authorized Utility Representative Form?

The Authorized Utility Representative Form is a document that designates an individual or entity as a representative to act on behalf of a utility customer in matters related to utility services.

Who is required to file Authorized Utility Representative Form?

Utility customers who wish to allow someone else to manage their utility accounts or services on their behalf are required to file the Authorized Utility Representative Form.

How to fill out Authorized Utility Representative Form?

To fill out the Authorized Utility Representative Form, provide the necessary information such as the utility account number, customer details, representative information, and any specific permissions granted to the representative.

What is the purpose of Authorized Utility Representative Form?

The purpose of the Authorized Utility Representative Form is to ensure that the utility company has a record of who is authorized to make decisions or receive information regarding a customer's account.

What information must be reported on Authorized Utility Representative Form?

The form typically requires the utility account holder's name, address, contact information, the representative's name and contact details, and the specific permissions being granted.