Red Oak, TX · Ellis County

No notary required

Customer Request to Disclose Information Form

Utility customers use this form to authorize the City of Red Oak Utilities Department to disclose specified account information to a named recipient or the public.

What this form is

This form lets a City of Red Oak utility customer request disclosure of personal information or information about utility usage, services, and billing. The customer can authorize disclosure to a named recipient or release of account information to the public upon written request. It asks for the customer's name and account number, disclosure choices, and recipient details when applicable.

Who needs it

A City of Red Oak utility customer who wants the Utilities Department to disclose specified account information to someone else or the public needs this form.

How to submit it

Return this form to the City of Utilities Department; the document does not provide an address, email, or portal.

About notarization

This document is signed without a notary; it mentions no notarized attachment or sworn step, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Customer Request to Disclose Information Form PDF.

  2. 2

    Complete The Form

    Provide your customer name and account number, select the information to disclose, and enter recipient details if applicable.

  3. 3

    Review Your Authorization

    Choose whether to authorize disclosure to a named recipient or release to the public upon written request.

  4. 4

    Return The Form

    Return the completed form to the City of Utilities Department; the document does not list submission contact details.

Frequently asked questions

Do I need a notary for the Customer Request to Disclose Information Form?
No. This document is signed without a notary and mentions no notarized attachment or sworn step; the signer just signs and dates it.
How do I submit the Customer Request to Disclose Information Form?
Return the form to the City of Utilities Department. The document does not provide an address, email, or portal.
What information can I authorize the city to disclose?
The form lets you authorize disclosure of personal information, utility usage, services and billing, including amounts billed or collected.
Can I authorize disclosure to the public?
Yes. The form includes an option authorizing the City of Utilities Department to release your account information to the public upon written request.

Need something notarized?

This Customer Request to Disclose Information Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.