North Richland Hills, TX · Tarrant County
Customer Information Disclosure Form
Water utility customers use this form to authorize North Richland Hills’ Water Department to disclose selected account information to named individuals or the public.
What this form is
This form lets a water utility customer request in writing that the Water Department disclose selected personal information or information about water usage, services, and billing. It asks for the service address, account number, the information to release, and the person or people who may receive it. Customers may also authorize release to the public and rescind the authorization by submitting a new form.
Who needs it
A North Richland Hills water utility customer who wants the Water Department to release selected account information to another person or the public.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed and dated without a notary; it does not identify any notarized attachment or related step.
How to submit this form
- 1
Download The Form
Download the Customer Information Disclosure Form.
- 2
Complete The Form
Provide the service address and account number, select the information to release, and identify who may receive it.
- 3
Sign And Date
Sign and date the form as the person submitting it.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Customer Information Disclosure Form?
- No. The form calls for the submitting person’s signature and date, and it does not identify any notarized attachment or related step.
- How do I submit the Customer Information Disclosure Form?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information can I authorize the Water Department to release?
- The form lets you select personal information or information about usage, services, and billing, and name the individual or individuals who may receive it.
Need something notarized?
This Customer Information Disclosure Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.