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Transfer Within Beaumont Water Application

  1. Section 1 - Service Address Information

  2. Purchased Home

  3. Sold Property

  4. If No, to either one of the above please be aware that all utility accounts must be in property title owner’s name. Please have owner fill out the rental application if moving in. If renter is moving out we no longer do a final bill for that renter we just bill the regular bi-monthly billing.

  5. A $50 Connection/Administration Fee will be charged on your first bill on your new account.

  6. Section 2 - Homeowner Information

  7. Other Applications You May Need

    - New Business License Application
    - New Pet License Application
    - Tax Installment Program Plan Change
    - Utility Account Pre-Authorization Change

  8. Business License

  9. Section 4 - Authorization

  10. 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 disconnection and/or transfer of outstanding balances to your tax account pursuant to Beaumont's Bylaws.

    We/I, understand that the old account balance will be transferred to the new account. 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.

  11. 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.

  12. If you have questions on utilities contact:

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

  13. The personal information requested on this form is being collected under the authority of the City of Beaumont 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 the City of 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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