Information behalf 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field. This identifies you as the customer authorizing the agent.
3. Fill in your mailing address, including city, state, and zip code. This ensures that all correspondence is directed correctly.
4. Next, appoint your agent by entering their name and mailing address. This person will act on your behalf regarding your utility account.
5. List the service addresses and account numbers for which you are granting authorization. If there are more than three accounts, attach a separate sheet.
6. Indicate the specific acts and functions you authorize your agent to perform by checking the applicable boxes provided.
7. Select the duration of authorization by initialing one of the options available: one-time authorization, one-year authorization, or a specified period up to three years.
8. Finally, sign and date the form at the bottom to validate your authorization. Ensure that someone with financial authority signs if applicable.

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