Request For Confidentiality
Check here to make your personal information (address, phone number and social security number) CONFIDENTIAL.
Please complete, print, and send to address below...
ACCOUNT NUMBER	NAME OF ACCOUNT HOLDER
STREET ADDRESS 1	HOME PHONE NUMBER
STREET ADDRESS 2	OFFICE PHONE NUMBER
CITY, STATE & ZIP
	____________________________________
EMAIL ADDRESS We will send confirmation of your request to the email address you provide.	SIGNATURE
Failure to return this document completed and signed will result in your personal information becoming available as an open record. To avoid this, please return within ten days of opening your account.
City of Plano Customer & Utility Services Dept. P O Box 861990 Plano, TX 75086-1990	©2001 City of Plano, Texas
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