Release of Information

Required fields are marked with an *
TID Customer Information
Customer Name (as it appears on TID bill)*
First Last Suffix
Customer Mailing Address*
Street Address Address Line 2 City State ZIP Code
Customer Phone*
Please enter your Phone Number in the following format: (###) ###-####
Send Copy to Customer (select one)*
- E-Mail
- US Mail
- None
Customer Email*
Please enter your Email in the following format: johndoe@email.com
TID Account Information
TID Account Number*
Your TID Account Number is a 10 digit number located in the upper left corner of your statement below the TID logo. Please enter it in the following format: ##########
0 of 16 max characters
Service address is the same as the mailing address?
The service address is the same as the mailing address above
- Yes
- No
Address where installation is occurring*
Add additional lines by clicking the + sign at the end of the row.
Installation Address City
Add Row Delete Row
Billing History*
- 24-Month History
- 36-Month History
Other (Please detail)
Requesting Party*
- I’m a TID customer requesting this information for myself.
- I’m a contractor requesting this information on behalf of a TID customer.
Contractor/Vendor Information
Contractor Name
Business Phone Number*
Please enter your Phone Number in the following format: (###) ###-####
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Representative Name*
First Last Suffix
Representative's Title
Representative's Phone Number*
Please enter your Phone Number in the following format: (###) ###-####
Send Copy to Contractor (select one)*
- E-Mail
- Mail
- None
Contractor's email address*
Please enter your Email in the following format: johndoe@email.com
Customer Signature and Acknowledgement
TID Customer*
- By checking this box I acknowledge that the execution of this form authorizes the release of billing history information and may include any of the following: Customer Name; Account Number; Service Address Information; Rate; Statement Dates; Service Dates; kW Usage and Bill Amounts.
TID Customer- Enter your name here to sign this form*
First Last Suffix
Title (if not the owner)
Last 4 digits of the California Drivers License or ID associated with this account*
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Release of Information

Release of Information

TID Customer Information

TID Account Information

Contractor/Vendor Information

Customer Signature and Acknowledgement