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Rental Property Water Application

  1. Section 1 - Service Address Information

  2. Property Details

  3. Please have a copy mailed to the service address for my tenant.

  4. The utility account will always read the owner’s name that is on title. Owner’s do have an option of having a copy of the utility bill mailed to the service address in the owner’s name with the words “and Tenant” as long as it is indicated above. No renter’s name will be added to the account. There is no interim billing for when a tenant move out or in, just the bi-monthly billing will be done. It will be up to the owner to figure out interim charges. If there is an issue with the account it is up to the owners to contact the City to discuss the issue.

  5. Section 2 - Homeowner Information

  6. Section 3 - Authorization

  7. We/I, the registered Owner(s) of the above service address understand we/I are responsible for the Utility Bills. Non-payment of the Utility Bills will result in either in disconnection and/or transfer of outstanding balances to your tax account pursuant to Beaumont's Bylaws.

    We/ I certify that the information given on this form is true and complete to the best of my knowledge and acknowledge my authorization of the information to be used for the purposes identified above.

  8. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. If you have questions contact:

    City of Beaumont - Utilities
    5600 - 49 Street
    Beaumont, AB T4X 1A1
    Phone: 780-929-1351
    Fax: 780-929-8729

  10. The personal information requested on this form is being collected under the authority of Beaumont's Bylaw 382 and Section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. The information collected will be used as for the purpose of setting up utility billing.

    If you have any questions about the collection or use of your personal information, contact Beaumont’s FOIP Coordinator at:
    City of Beaumont's FOIP Coordinator
    5600-49th Street
    Beaumont, AB
    T4X 1A1
    Phone 780-929-8782

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  12. This field is not part of the form submission.