Permission to Release Electric Customer Load Data
Document Sample


Permission to Release Customer Contract Information
To request contract information, please fax this completed form to:
FortisAlberta Inc.
Fax Number: 403-514-5909 Attention: Rates & Contract Administration
(Please print)
Name of Customer (s): ________________ _ ___________
Site ID Number(s): ________________ __ ___ ________
I, _ , have the authority to request the release of the above
specified Customer Contract Information to the person indicated below.
_______________________________________________________________________
(Authorized Company Representative Signature) (Title)
Phone: ________________________________________
Date Signed: ___________________________________ _
E-mail: _______________________________________ _
All information to be forwarded electronically to the following:
Name: _______________________________ Phone: ___________________________
Company: _____________________________ Fax#: ___________________________
E-mail: _____________________________
This consent is a one-time consent and limited to the
provision of current information for the specified site(s) and
for no other sites. Should future Customer Contract
Information be requested in respect of the specified site(s),
a new consent is required.
Version 04-06
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