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  • Notice of Confidentiality and Right to Request Disclosure: Pursuant to Section 182.051, Texas Utilities Code, a Customer’s personal, utility usage, and billing information is confidential and may not be disclosed by (DISTRICT) to third-parties unless a written request for disclosure is submitted by the customer. You may request disclosure of this information by completing This Form and returning same to:

    
    Travis County WCID #19
    c/o AWR Services, Inc.
    500 North Capital of Texas Hwy.
    Building 1, Suite 125
    Austin, TX 78746

    
    OR COMPLETE THE FORM BELOW AND SUBMIT IT
    _______________________________________________________________________
  • I request disclosure to third-parties of my personal information and information related to my utility usage and amounts billed or collected as specified under Sec. 182.052 Utilities Code.
  • Date REQUIRED Please fill out this field. Please enter a date.
  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Address REQUIRED Please fill out this field. Please enter valid data.
  • By checking this box, I verify that I request Disclosre as stated above.

    I Agree Please select this field.

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