FAA Authorization 4-08-26.pdf

This is a Customer Usage Information Authorization form for non-residential electric utility customers. The document authorizes an electric utility to obtain and release historical energy usage and billing information to a supplier or consultant for the purpose of evaluating energy usage patterns and making supply offers. The authorization is limited to determining offer pricing and providing energy-related services, and all customer usage information is to be kept confidential.

The form captures supplier/consultant information including individual name, company representation, address, email, and phone number. It requests specification of data type needed: either 60-minute interval data in ASCII text file format (if available) or monthly billing information covering the most recent twelve-month period. The company information section identifies Atlantic City Electric Company as the utility, with the account holder being FAA William J. Hughes Technical Center located in Building 305 at Atlantic City International Airport, Atlantic City, New Jersey 08405. The business contact is Thomas Herzog at telephone number 609-485-7039. The authorization was signed on 4-8-2026 and is valid for 90 days from that date. The account number listed is 0550 0713 2560 7000 6857 56. The form provides fax submission instructions and includes contact information for Atlantic City Electric, PSEG, JCP&L, and Rockland Electric utilities.