Willis, TX · Montgomery County
Request for Confidentiality of Information
City of Willis Utilities Department customers use this form to request that specified personal or utility-usage information be kept confidential.
What this form is
This form lets a customer ask the City of Willis Utilities Department to keep personal information in their account record, utility-usage information, or both confidential. It asks for the customer name and account number, provides checkboxes for the confidentiality requests, and includes signature and date fields. Return the completed form with payment, as directed by the form.
Who needs it
City of Willis Utilities Department customers who want to request confidentiality for personal information or utility-usage details in their account record should complete this form.
How to submit it
Return the completed form with your payment to the City of Willis Utilities Department; the form gives no mailing address or electronic submission option.
About notarization
No notary is required; the form asks the customer to sign and date it, and it identifies no notarized attachment or related step.
How to submit this form
- 1
Download The Form
Download the Request for Confidentiality of Information form.
- 2
Complete The Request
Enter your customer name and account number, select the applicable confidentiality requests, then sign and date the form.
- 3
Check For Attachments
The form does not identify any attachments to gather.
- 4
Return The Form
Return the completed form with your payment to the City of Willis Utilities Department.
Frequently asked questions
- What does the confidentiality request form do?
- It lets a City of Willis Utilities Department customer request confidentiality for personal information, utility-usage details, or both in the customer's account record.
- Who should complete this form?
- A customer of the City of Willis Utilities Department who wants specified information in their account record kept confidential can complete the request.
- Do I need a notary for this request?
- No. The form does not require notarization; the customer signs and dates it, and the document identifies no notarized attachment or related step.
- How do I submit the confidentiality request?
- Return the completed form with your payment to the City of Willis Utilities Department. The form does not provide a mailing address or electronic submission option.
Need something notarized?
This Request for Confidentiality of Information doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.