Horseshoe Bay, TX · Llano County
Request for Utility Account Confidentiality
Horseshoe Bay customers use this form to request that personal information on their utility account record be kept confidential.
What this form is
This form combines an application for utility services with a written request to keep personal information on a customer’s utility account record confidential. The city states that a customer must sign the service agreement before service begins and must make the confidentiality request in writing. It asks for customer and service details, emergency contact information, and a signature; it also includes an optional POA exception.
Who needs it
Horseshoe Bay utility customers who are applying for service and want to request confidentiality for personal information on their account record should complete the form.
How to submit it
Email the completed form to [email protected], as directed on the form.
About notarization
This document is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Form
Download the Request for Utility Account Confidentiality PDF.
- 2
Complete The Form
Fill in the customer, service, and contact details and complete the confidentiality request.
- 3
Review And Sign
Read the information on the form, then sign and date the request.
- 4
Email The Form
Email the completed form to [email protected].
Frequently asked questions
- Do I need a notary for the Request for Utility Account Confidentiality?
- No. The form has signature and date fields but no notary block, and it does not identify any attachment or related step that must be notarized or sworn.
- How do I submit the utility confidentiality form?
- Email the completed form to [email protected], as directed on the form.
- What information does the form request?
- It asks for customer and service details, contact and emergency contact information, and a signature. It also includes a request to keep personal information on the utility account record confidential.
Need something notarized?
This Request for Utility Account Confidentiality doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.