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Customer authorization to release information Natural gas company (check one): Wisconsin Gas LLC Wisconsin Electric Gas Operations Requested effective date: Account name: Service address: City, State,

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How to fill out customer authorization to release

01

Begin by gathering all the necessary information for the customer authorization to release.

02

Clearly state the purpose of the authorization, which is to grant permission to release certain information or documents.

03

Include a section where the customer can provide their personal details, such as full name, address, and contact information.

04

Clearly specify what information or documents the customer is authorizing to release.

05

Include a statement that the authorization is voluntary and can be revoked by the customer at any time.

06

Add a signature and date section for the customer to sign and date the authorization.

07

Make a copy of the authorization for both the customer and the authorized release recipient.

08

Ensure that the authorization is stored securely and in accordance with data protection laws and regulations.

Who needs customer authorization to release?

01

Anyone who wishes to release personal information or documents about a customer is required to have customer authorization to release.

02

This includes banks, insurance companies, healthcare providers, employers, educational institutions, government agencies, and any other entity that may hold customer information.

03

Customer authorization to release is essential to protect the privacy and confidentiality of personal information.

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What is customer authorization to release?

Customer authorization to release is a form signed by a customer giving permission to release their information to a third party.

Who is required to file customer authorization to release?

The customer or their legal guardian is required to fill out and file the customer authorization to release form.

How to fill out customer authorization to release?

The customer or their legal guardian must fill out the form with their personal information and sign it to authorize the release of their information to a third party.

What is the purpose of customer authorization to release?

The purpose of customer authorization to release is to ensure that the customer's information is only shared with authorized parties.

What information must be reported on customer authorization to release?

The customer's personal information, the specific information to be released, and the details of the third party receiving the information must be reported on the customer authorization to release form.

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