Get Instructions For Completing Form 79-1095: Pg&e's Authorization To ...

This guide provides clear and concise instructions for completing Form 79-1095: PG&E's Authorization To Receive Customer Information online. Filling out this form correctly is essential for allowing authorized entities to access your meter data for various Program purposes.

Follow the steps to fill out the form accurately.

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Complete the customer information sections listed in lines 1-3 and 6-16. Make sure to accurately input all personal information, including your name and title if applicable.
3. Fill in the service address details in lines 6-8. If you have more than three accounts, be sure to attach a separate document listing all service addresses and account numbers.
4. In lines 9-15, provide agent authorization by initialing lines 9, 12, and 13, and adding any additional authorizations you deem necessary.
5. Ensure that the authorization timeline in line 18 is correctly filled; initial the appropriate boxes in lines 9 and 12.
6. Check the box in line 21 to authorize PG&E to share your meter data with the ADR Team. Do not alter the auto-filled ADR Team email address.
7. Complete your full name in line 22.
8. Sign and date the form in lines 23-24, and provide your phone number and address. Remember that vendors or contractors cannot sign this form on your behalf.
9. The ADR Team information in lines 4-5 and line 21 should remain as auto-filled. Confirm that the ADR Team email address is correct.
10. If necessary, provide the agent signature in line 25, which is required from your ADR Team lead.
11. Once everything is completed, save your changes. You can then download, print, or share the form as required.

Complete the required documents online to ensure your authorization is processed efficiently.