Boerne, TX · Kendall County

No notary required

Request for Disclosure of Information Maintained by Utilities

City of Boerne Utilities customers use this form to request disclosure of personal, usage, service, or billing information from their account records.

What this form is

This form lets a City of Boerne Utilities customer request disclosure of personal information or information about utility usage, services, and billing. The form asks for the customer's name and account number, offers release choices, and requests the recipient's name, address, and driver's license number when information is released to a named person. Customers may also authorize release to the public and rescind a disclosure request by written notice.

Who needs it

A City of Boerne Utilities customer who wants to request disclosure of account information or authorize its release to another person or the public should use this form.

How to submit it

Check the applicable boxes and return the form to the City of Boerne Utilities Department.

About notarization

This document is completed without a notary; it contains no notarized or sworn attachment, and the customer provides the requested information and release choices.

How to submit this form

  1. 1

    Download The Form

    Download the City of Boerne Utilities information disclosure request.

  2. 2

    Complete The Form

    Enter the customer name and account number, then select the applicable disclosure choices.

  3. 3

    Provide Recipient Information

    If authorizing disclosure to a named person, provide the requested name, address, and driver's license number.

  4. 4

    Return The Form

    Return the completed form to the City of Boerne Utilities Department.

Frequently asked questions

What does the utility information disclosure form authorize?
Customers can request disclosure of personal information or utility usage, service, and billing information, and can authorize release to a named person or the public.
How do I submit the utility information disclosure form?
Check the applicable boxes, provide the requested customer and recipient information, and return the form to the City of Boerne Utilities Department.
Do I need a notary for the utility information disclosure form?
No. This document is completed without a notary, and it does not mention a notarized or sworn attachment.

Need something notarized?

This Request for Disclosure of Information Maintained by Utilities doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.