Skip to main content
Home
Pay Online!
Contact Us
Outage
Menu

Latest

  • Reconnection of service, except outages, will only occur  M-F 8am-4:00pm. 
  • Annual meeting is July 14 during the Jay County Fair this year! Check back often for more details!
1 of 2 
  • Home
  • About Us
    • Location, Hours, and Contact Information
    • Board of Directors
    • Our History
    • Touchstone Energy
    • Bylaws
    • Service Area
  • Members
    • 7 Cooperative Principles
    • Annual Meeting
    • Authorization to Release Account Information
    • Billing Information
    • Capital Credits
    • Electric Vehicle Information and Calculator
    • Energy Audit
    • Indiana Connection
    • Member Information
    • Rates and Fees
    • Single or Joint Membership Form
    • Medical Certification Form
  • My Co-op
    • Coop Connections Card
    • Rebates
      • Heat Pump Rebate
      • Water Heater Rebate
    • Student Art Contest
    • Together We Save
    • Coops Vote
    • Filter Change
    • Touchstone Energy Camp
    • Wifi Thermostat Program
    • Youth Tour 2020
    • Indiana 811
  • My Community
    • Community
    • EEK (Electrical Education for Kids)
    • Energy Tips
    • What is Energy
  • Safety
    • Farm Safety
    • Kids Safety
    • Safety Practices
    • Storm Preparation
    • Drone Safety
  • Dolly Parton's Imagination Library

Authorization to Release Account Information Form

AuthorizationtoReleaseForm.pdf

Security, Security, Security

Your personal information is valuable and we want to ensure our members that we are doing everything possible to guarantee your personal information is not compromised in any form. By focusing on prevention, Jay County REMC can reduce the risk of identity theft and prevent your information from being obtained without authorization.

If you would like to add a person who can conduct a limited amount of business on your behalf please fill out the form pictured to the left of this information. Without this authorization, only you will have access to your information. Please be sure to include your spouse, as the majority of our memberships are sole memberships.

Please note that by signing the authorization form, this does not make your account a joint membership. If you would like your account to be a joint membership, which gives your spouse all rights and privileges of a member, you can call our office at (800) 835-7362 or go to the Membership Form page.

Please fill out the Authorization to Release Account Information form completely and return it to our office. Upon receipt of the completed form, we will make the appropriate updates to your account. Please remember, this authorization will remain in effect until it is withdrawn in writing and delivered to Jay County REMC. 

If you have any questions or are unsure of who the legal member is on the account, please call our office at 260-726-7121 or 800-835-7362. We want to keep you and your information secure!

 

Forms can be returned to:

484 S 200 W

Portland, IN 47371

 

Or mailed to:

PO Box 904

Portland, IN 47371

 

Information on this website is subject to change without prior notice.

 

Back to Top

Quick Links

  • Contact Us
  • News

Social Media Links

©2022 Jay County REMC. A Touchstone Energy Cooperative

  • Home
  • About Us
    • Location, Hours, and Contact Information
    • Board of Directors
    • Our History
    • Touchstone Energy
    • Bylaws
    • Service Area
  • Members
    • 7 Cooperative Principles
    • Annual Meeting
    • Authorization to Release Account Information
    • Billing Information
    • Capital Credits
    • Electric Vehicle Information and Calculator
    • Energy Audit
    • Indiana Connection
    • Member Information
    • Rates and Fees
    • Single or Joint Membership Form
    • Medical Certification Form
  • My Co-op
    • Coop Connections Card
    • Rebates
      • Heat Pump Rebate
      • Water Heater Rebate
    • Student Art Contest
    • Together We Save
    • Coops Vote
    • Filter Change
    • Touchstone Energy Camp
    • Wifi Thermostat Program
    • Youth Tour 2020
    • Indiana 811
  • My Community
    • Community
    • EEK (Electrical Education for Kids)
    • Energy Tips
    • What is Energy
  • Safety
    • Farm Safety
    • Kids Safety
    • Safety Practices
    • Storm Preparation
    • Drone Safety
  • Dolly Parton's Imagination Library