Energy Ego · Customer authorization

Letter of Authorization

Request up to 12 months of historical electricity usage data for your service location(s).

1. Broker / Referrer

Broker IDBroker name

Enter a broker ID or name. Valid broker sessions may populate these fields automatically.

2. Usage request details

Request date *Authorization expiration *

Usage information requested *

Summary billing data only Interval data only Both summary and interval data

The delivery company is automatically determined from the service-location lookup in Section 3. Separate authorizations are required for different delivery companies.

3. Service locations

Add up to 20 service locations. Each address must be associated with the selected TDSP. Use one search box for either a service address or ESI ID. Matches appear automatically after 3 address characters (with ZIP) or 10 ESI ID digits. Select a result to fill the address, ESI ID, and delivery company.

1 of 20 locations

The delivery company is determined from the selected lookup result. All locations on one authorization must use the same delivery company. Inactive meters require confirmation.

4. Customer / authorized representative

Company / customer name *Authorized signer name *Signer title *Telephone number *Billing street address *Billing city *Billing state *Billing ZIP code *Email (for confirmation)

5. Authorization & signature

Please accept this letter as a formal request and authorization for the above referenced TDSP to release energy usage data, including kWh, kVA or kW, and interval data (if applicable) at the following location(s) to Insuragy, LLC dba Energy Ego. This information request shall be limited to no more than the most recent 12-month period of service. If the Electric Service Identifiers (ESI IDs) are metered using an Interval Data Recorder (IDR), please indicate whether summary level and/or interval data is required.

Please forward usage and Load information in electronic (Microsoft Excel) format using Retail Market Guide Section 9, Appendices, Appendix B4, Transmission and/or Distribution Service Provider Response to Request for Historical Usage, to: broker@energyego.com.

AUTHORIZATION: I affirm that I have the authority to make and sign this request on behalf of my company for all ESI IDs that are associated with this request.

By checking the authorization box below, the requesting party affirms that they have authorization from the Customer identified above to obtain Customer’s historical usage information and holds the TDSP harmless for providing the historical data to the requested party as identified on this form.

I confirm I am authorized to sign this Letter of Authorization and consent to this request. *

Electronic signature *

Your signature is generated automatically from the Authorized signer name entered above.

Your electronic signature and agreement will be saved with your request.

Required fields are marked with *