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Utility Account Authorization Form
In order to better serve you and protect your privacy, College Station Utilities will allow changes to be made to the account by the account holder or an authorized representative(s).
To continue providing the best service possible, we need your help to update your account information. Please complete this form, sign and return it with your utility bill payment.
Account Number (see front of bill):

Service Address:

Name on Account:

Last 4 digits of Social Security or Drivers License #:

Would you like to receive your bill by email instead of the paper bill?*
If yes, Email address:

If you would like to authorize others to access your account, please complete this section with their name(s) and identification.
Authorized Representative:

Last 4 digits of Social Security #:

Authorized Representative:

Last 4 digits of Social Security #:

Authorized Representative:

Last 4 digits of Social Security #: - Cloned

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