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TX Austin Energy Release of Customer Information Authorization Form 2012-2025 free printable template

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Please FAX completed form to Austin Energy at 512 505-4028 If you have questions please call 512 494-9400 Release of Customer Information Authorization Form PURPOSE This Release of Customer Information Authorization Form allows a City of Austin utility account holder Account Holder to delegate certain rights to an authorized party Authorized Party concerning account holder s service s including authorizing receipt of confidential customer account information. This form must be completed...
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How to fill out TX Austin Energy Release of Customer Information Authorization

01
Obtain the TX Austin Energy Release of Customer Information Authorization form from the Austin Energy website or office.
02
Fill in the customer's full name at the top of the form.
03
Provide the customer's account number associated with Austin Energy.
04
Indicate the person or organization that is being authorized to receive the information.
05
Specify the type of information that can be released (e.g., billing information, account history).
06
Include the effective date and duration for which the authorization is valid.
07
Sign and date the form at the bottom by the customer or authorized individual.
08
Submit the completed form to Austin Energy via mail, fax, or in person.

Who needs TX Austin Energy Release of Customer Information Authorization?

01
Customers of Austin Energy who want to allow a third party to access their account information.
02
Individuals or organizations acting on behalf of the customer, such as family members, financial advisors, or contractors.
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TX Austin Energy Release of Customer Information Authorization is a document that allows Austin Energy to share a customer's account information with a designated third party, such as a family member, caregiver, or service provider.
Customers of Austin Energy who wish to authorize another party to access their account information need to file the TX Austin Energy Release of Customer Information Authorization.
To fill out the TX Austin Energy Release of Customer Information Authorization, a customer needs to provide their account details, specify the individual or organization they are authorizing, and sign the form to grant permission.
The purpose of the TX Austin Energy Release of Customer Information Authorization is to facilitate communication between Austin Energy and specific third parties regarding a customer's account, ensuring that authorized individuals can receive pertinent information.
The information that must be reported includes the customer's name, account number, the name and contact details of the authorized person or organization, and the nature of the information that can be shared.
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