Letter of Authorization for Release of Customer’s Electric Utility Account Number/SDI and/or Residential Historical Interval Data FORM NO. X-4428 (04-16) CUSTOMER NAME PHONE NUMBER CUSTOMER ADDRESS CITY STATE ZIP CODE AUTHORIZED PERSON/TITLE ACCOUNT/SDI NUMBER For multiple account/SDI numbers, please attach a spreadsheet in Microsoft Excel format containing the accounts/SDI(s) for which you are requesting usage. Competitive Retail Electric Service (CRES) Provider (Includes Brokers, Power Marketers) CRES NAME PHONE NUMBER ADDRESS E-MAIL ADDRESS Initial Box for release of specific account information to CRES provider listed above: Account/SDI Number Release: The above named customer authorizes the release of their Account Number/Service Delivery Identification Number. This information is to be used for one or all of the following: enrollment in a product or service; and/or obtaining usage data for pricing of a product or service. Residential, Interval Historical Energy Usage Data Release: The above named residential customer authorizes the release of up to 24 months of kwh data, if available (Please fill in the blank with your request, e.g., Hourly, 30-minute, 15-minute, etc.). This information is to be used for pricing of a product or service. I realize that under the rules and regulations of the Public Utilities Commission of Ohio, I may refuse to allow to release the information set forth above. By my signature, I freely give permission to release the information designated above. Signature Date This authorization will expire one year from the date of the customer signature or on the date listed below. Expiration Date: .
Letter of Authorization for Release of Customer’s Electric Utility Account Number/SDI and/or Residential Historical Interval Data FORM NO. X-4428 (04-16) CUSTOMER NAME PHONE NUMBER CUSTOMER ADDRESS CITY STATE ZIP CODE AUTHORIZED PERSON/TITLE ACCOUNT/SDI NUMBER For multiple account/SDI numbers, please attach a spreadsheet in Microsoft Excel format containing the accounts/SDI(s) for which you are requesting usage. Competitive Retail Electric Service (CRES) Provider (Includes Brokers, Power Marketers) CRES NAME PHONE NUMBER ADDRESS E-MAIL ADDRESS Initial Box for release of specific account information to CRES provider listed above: Account/SDI Number Release: The above named customer authorizes the release of their Account Number/Service Delivery Identification Number. This information is to be used for one or all of the following: enrollment in a product or service; and/or obtaining usage data for pricing of a product or service. Residential, Interval Historical Energy Usage Data Release: The above named residential customer authorizes the release of up to 24 months of kwh data, if available (Please fill in the blank with your request, e.g., Hourly, 30-minute, 15-minute, etc.). This information is to be used for pricing of a product or service. I realize that under the rules and regulations of the Public Utilities Commission of Ohio, I may refuse to allow to release the information set forth above. By my signature, I freely give permission to release the information designated above. Signature Date This authorization will expire one year from the date of the customer signature or on the date listed below. Expiration Date: .