2. House Bill 872.052 Disclosure of Personal Information

   Information in your City of Sachse Utility customer account record, including information regarding customer usage, services, and billing, including amounts billed or collected for utility usage, is excepted from disclosure under Texas Government Code, Chapter 552.1331. Texas Utilities Code, Chapter 182.052 allows a customer, or a representative of the customer, to receive information excepted from disclosure if the information directly relates to utility service provided to the customer and is not confidential by law by completing a Request for Disclosure Form.

   To request disclosure of your information, complete and submit this form

4. First Name*
5. Last Name*
7. Service Address*
9. Account Number*
10. Email*
12. Release of Information*

    1. I authorize the City of Sachse Utility to disclose my personal information to:

    1. I authorize the City of Sachse Utility to disclose information regarding my usage, service and billing, including amounts billed or collected for utility usage to:

    1. I authorize the City of Sachse Utility to release my account information to the public upon written request by any member of the public
14. Authorized to receive personal information
    Name of Individual or Company
15. Authorized to receive usage and billing information
    Name of Individual or Company
17. You may rescind your request for disclosure by providing the City of Sachse Utility Billing Customer Service written notice. A government-operated utility or an officer or employee of a government-operated utility is immune from civil liability for a violation of Texas Utilities Code, Chapter 182, Subchapter B.

19. Confidentiality under Chapter 182 does not prohibit a government-operated utility from disclosing personal information in a customer's account record to: (1) an official or employee of the state, a political subdivision of the state, or the United States acting in an official capacity; (2) an employee of a utility acting in connection with the employee's duties; (3) a consumer reporting agency; (4) a contractor or subcontractor approved by and providing services to the utility, the state, a political subdivision of the state, or the United States; (5) a person for whom the customer has contractually waived confidentiality for personal information; or (6) another entity that provides water, wastewater, sewer, gas, garbage, electricity, or drainage service for compensation.

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

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