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For Reliant Energy Customers Only
Authorization for Online Access of Account Information with Reliant Energy, Inc.
I, the undersigned Reliant Energy customer (“Customer”), hereby authorize The Energy Assistance
Agency (“Agency”), to obtain online access to my Reliant Energy account information for the purpose of
obtaining my 12-month billing history, 12-month payment history, and account balance (“Account
Information”) to be used for the sole purpose of determining my eligibility for participation in or
benefits with the Agency.
I understand that the Account Information obtained by the Agency may contain personal or personally-
identifying information, and that the Agency (and not Reliant Energy) is solely responsible for the
confidentiality and security of the information obtained on my behalf.
Customer Name (Print)
Customer Signature
Service Address
Date:
Energy Assistance Agency:
Opportunities for Williamson & Burnet Counties, Inc.
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For Reliant Energy Customers Only

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Completed 4 January 2021

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