Do I need a notary for the Disclosure Of Utility Information form?

No. This form is completed without a notary and describes no sworn or notarized attachment; it asks the customer to check boxes and return it.

How do I submit the Disclosure Of Utility Information form?

Check the applicable boxes and return the form to the Bridge City Utilities Department at P.O. Box 846, 260 Rachal Ave, Bridge City, TX 77611.

What information can I authorize the city to disclose?

The form allows you to authorize disclosure of personal information and information about utility usage, services, and billing to a named person, or release of your account information to the public upon written request.

Bridge City, TX · Orange County

No notary required

Disclosure Of Utility Information

Bridge City utility customers use this form to request disclosure of account information to a named person or authorize release to the public.

What this form is

This form lets a Bridge City Utilities Department customer request disclosure of personal information or utility usage, service, and billing information in their account record. The customer checks the applicable boxes to authorize disclosure to a named person or release to the public upon written request, then returns the form to the department.

Who needs it

A Bridge City Utilities Department customer who wants to authorize disclosure of account information to a named person or the public should use this form.

How to submit it

Check the applicable boxes and return the form to the Utilities Department at P.O. Box 846, 260 Rachal Ave, Bridge City, TX 77611.

About notarization

This request is completed without a notary; the form describes no sworn or notarized attachment and asks the customer to check boxes and return it.

How to submit this form

1
Download The Form
Download the Disclosure Of Utility Information form.
2
Complete The Form
Check the applicable authorization boxes and provide the customer name, account number, and recipient details where requested.
3
Gather Attachments
The form does not specify any attachments to include.
4
Return The Form
Return it to the Utilities Department at P.O. Box 846, 260 Rachal Ave, Bridge City, TX 77611.

Frequently asked questions

Do I need a notary for the Disclosure Of Utility Information form?: No. This form is completed without a notary and describes no sworn or notarized attachment; it asks the customer to check boxes and return it.
How do I submit the Disclosure Of Utility Information form?: Check the applicable boxes and return the form to the Bridge City Utilities Department at P.O. Box 846, 260 Rachal Ave, Bridge City, TX 77611.
What information can I authorize the city to disclose?: The form allows you to authorize disclosure of personal information and information about utility usage, services, and billing to a named person, or release of your account information to the public upon written request.

Need something notarized?

This Disclosure Of Utility Information doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.