The Xcel Energy Consent to Disclose Customer Data (form 19-12-514) is the authorization an Xcel Energy customer signs so the utility can release meter and program data to the City and County of Denver, Office of Climate Action, Sustainability, and Resiliency. Denver's grant page lists this form, or another utility's consent form, among the documents for the Building Electrification Showcase Grant for Design, and the form itself marks the data as required for Denver's Climate Action Rebate program. On FillingPDF you can fill out the form online and download or print the completed PDF; the official PDF is published by the City and County of Denver at denvergov.org.
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What is 19-12-514?
The Xcel Energy Consent to Disclose Customer Data (form 19-12-514) is the signed authorization that lets Xcel Energy release a customer's utility data to the City and County of Denver, Office of Climate Action, Sustainability, and Resiliency. The PDF itself is titled "Consent to Disclose Utility Customer Data".
The form has two parts. The part "To be completed by the data recipient" names the utility (the Xcel Energy Correspondence Department, P.O. Box 8, Eau Claire, WI, 54702) and the recipient, whose contact is the Community Energy Programs Administrator at 201 W Colfax Ave, Denver, CO 80202. It lists what the recipient will receive:
- information from your meter for the services you check: electric, steam or natural gas;
- information about your participation in renewable energy, demand-side management, load management, energy efficiency or other utility programs;
- anything written in the "Other (specify)" line.
It also states the purpose, with a box marked "Required for Denver's Climate Action Rebate program", and the data collection period. The part "To be completed by the customer" carries the customer disclosures, your account number, service address, printed name, signature and date.
Beyond that data, the recipient may also receive your name, account number, service number, meter number, utility type, service address, premise number and description, meter read dates, days in the billing period, invoice date and billing amounts. The utility will not provide other information through this form, such as a Social Security Number or a financial account number.
This is a data-sharing consent, not a permit or a grant application. The PDF notes that copies in other languages may be requested from [email protected].
Who needs to file 19-12-514?
The main signer is the customer of record on an Xcel Energy account. By signing, you acknowledge that you are the customer of record for the account and authorize your utility to disclose the customer data described in the form.
In Denver's program context, the Building Electrification Showcase Grant for Design page lists the Xcel Energy form among the documents for applicants, with a copy of recent utility bill(s) for all premises at the building. That page says the building owner must be the one to submit the application and receive the grant, and that the form is required only if the application receives a high score and is tentatively preapproved.
- If your building is served by another utility, the grant page allows that utility's Consent to Disclose Customer Data form instead of this one.
- You are not required to authorize disclosure of your customer data, and the form states that not authorizing will not affect your utility services.
- The form contains no instructions on signing for someone else, so a signer other than the customer of record should ask the utility or Denver before using it.
When to file 19-12-514
Sign the consent when Denver asks for it. The Building Electrification Showcase Grant for Design page lists this form, with recent utility bills, as required only if the grant application receives a high score and is tentatively preapproved. The form prints no due date of its own.
The data collection period on the form runs from January 1, 2017 through December 31, 2027, or the beginning and ending dates you enter on the fill-in line. You may terminate the consent at any time by sending a written request with your name and service address to your utility.
The grant page also says applications for 2026 are closed and to check back in early 2027 for the 2027 application window.
Documents you need
- Copies of recent utility bill(s) for all premises at the building, which Denver's grant page lists with this form; required only if the grant application receives a high score and is tentatively preapproved.
- If a utility other than Xcel Energy serves the building: that utility's Consent to Disclose Customer Data form in place of this one, as the grant page allows.
How to fill out 19-12-514
Review the utility and recipient blocks
Under "To be completed by the data recipient", check that the utility is the Xcel Energy Correspondence Department and that the recipient is the City and County of Denver, Office of Climate Action, Sustainability, and Resiliency.
Check the meter services
Under the meter information option, check all services that apply: electric, steam or natural gas.
Select other data to share
Check the box for information about your participation in renewable energy, demand-side management, load management, energy efficiency or other utility programs if it applies. Use "Other (specify)" only for additional data you want released.
Confirm the purpose of the data
Under "This information will be used to:", check the purposes that apply, including "Required for Denver's Climate Action Rebate program" where it fits your use.
Set the data collection period
Under "Data collection period", enter the beginning and ending dates on the fill-in line, or use the period printed on the form, January 1, 2017 through December 31, 2027.
Read the customer disclosures
In the part "To be completed by the customer", read the disclosures about what the utility may release, your right to refuse and the utility's lack of control over disclosed data.
Enter account number and service address
Write your customer account number and the service address for the premises whose data will be released.
Print your name, sign and date
Enter your printed name, then sign as the customer of record and add the date signed.
Review and download the completed PDF
Check that every requested field is filled, since all requested information is needed for the consent to be valid. Download or print the completed PDF from FillingPDF and deliver it as described under How to submit.
How to submit 19-12-514
The form prints no return address or portal for the signed consent, so follow the channel Denver gives for the program you are applying to.
- Grant application: Denver's Building Electrification Showcase Grant for Design page lists this form, or another utility's consent form, among the documents tied to the application, and says the application is submitted through the application portal.
- Denver contact: the recipient email printed on the form is [email protected]. Use it if you are unsure how Denver wants the signed form delivered.
- Xcel Energy: questions about your data and requests to terminate the consent go to the utility. The form lists the Xcel Energy Correspondence Department, P.O. Box 8, Eau Claire, WI, 54702, phone 800.895.4999, email [email protected] and fax 866.208.8732. A termination request must be in writing and include your name and service address.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Leaving requested information blank; the form states that all requested information must be provided for the consent to be valid.
- Signing when you are not the customer of record; the signature block certifies that you are the customer of record for the account.
- Omitting the customer account number or service address in the customer section.
- Not checking any service under the meter information option (electric, steam, natural gas), or checking the wrong ones for your premises.
- Sending the consent without recent utility bill(s) for all premises at the building when Denver asks for both after preapproval.
- Using the Xcel Energy form when another utility serves the building; the grant page accepts that utility's own consent form.
- Sending a termination request without your name and service address; the form requires both in the written request to the utility.
- Assuming you can control the data after release; the form warns that the utility has no control over data once it is disclosed.
Frequently asked questions
What is the Xcel Energy Consent to Disclose Customer Data?
It is a signed authorization (form 19-12-514) that lets Xcel Energy release your meter data and utility program participation data to the City and County of Denver, Office of Climate Action, Sustainability, and Resiliency. Denver's grant page lists it among its application documents.
Is this a Denver permit form?
No. It is a data-sharing consent, not a permit or an application. Denver's Building Electrification Showcase Grant for Design page lists it, or another utility's consent form, as a supporting document, and the form itself references Denver's Climate Action Rebate program.
Do I have to sign the consent to Denver?
The form says you are not required to authorize disclosure and that declining will not affect your utility services. For Denver's grant, the consent is listed as required only if your application receives a high score and is tentatively preapproved.
Who signs the form?
The customer of record for the Xcel Energy account. The signature block states that you are the customer of record and that you authorize your utility to disclose the customer data specified in the form. You also enter your printed name and the date.
What information does Denver receive?
Meter data for the services you check (electric, steam, natural gas), program participation information if checked, and any item you write in "Other". The recipient may also get your name, account and meter numbers, service address and billing amounts, but not your Social Security Number or financial account numbers.
Can I cancel my consent?
Yes. You may terminate the consent at any time by sending a written request with your name and service address to your utility. The form lists Xcel Energy at P.O. Box 8, Eau Claire, WI, 54702 and [email protected].
What if my building uses a different utility?
Denver's grant page says you may submit Xcel Energy's form or another Utility Consent to Disclose Customer Data form, so use your own utility's version. The grant page also asks for recent utility bills for all premises at the building.
Can I fill out the Xcel Energy consent form online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent, is not connected to Xcel Energy or Denver and does not send the form to either; you deliver it through the channels Denver or the utility gives.
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