Right to Request Disclosure

Notice of Customer's Right to Request Disclosure * Required
- I want to submit a request for disclosure
- I want to rescind a previous request for disclosure
Pursuant to section 182.052 of the Texas Utilities Code and section 552.1331 of the Texas Government Code, with certain exceptions the City of Lucas may not disclose personal information in a customer’s utility account record, or any information relating to the volume or units of utility usage or the amounts billed to or collected from the individual for utility usage, unless the customer requests that the City disclose the information. In order to request disclosure of any such information or to rescind a previous disclosure authorization, an authorized account holder must complete and submit the form below.
Date * Required
Disclosure Preferences * Required
- Personal information in my utility account record
- Utility usage and consumption information
- Billing and payment information
- I rescind any previous request for account disclosure
I request and authorize the City of Lucas to disclose the above information (check all that apply)
Account Number * Required
Service Street Address * Required
Street Address City State ZIP Code
Phone Number * Required
Account Ownership * Required
- I attest that I am the authorized account holder of the above account
Email

Submit email address if you would like to receive a copy of your completed Right to Request Disclosure form.
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