THIS FORM IS TO BE COMPLETED BY THE OWNER OF THE PROPERTYProperty & Owner Information Possession date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Municipal address of property * Does the property require Roll Out Bins? (Applies to brand-new residences ONLY) * Yes No Property Owner name or Company Name * Name of company owner Property Owner Mailing Address, including Postal Code * Home phone * Cell phone Email Employer name * Employer address * Business phone * Contact Name in Case of Emergency * Contact Phone * Optional - information about any tenants or managers of the property (residential or commercial)If you wish a copy of the monthly billing sent to either the Tenant or the Property Manager, complete the following:Tenant information Tenant name Tenant mailing address with postal code Tenant billing date start (must be 1st of the month) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Tenant phone Tenant email Property Manager information Property Manager name Property Manager mailing address with postal code Property manager billing date start (must be 1st of the month) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20212022202320242025 Property Manager phone Property Manager email Notification of ChangesWhen there are changes, please contact the Town Office at 403.556.6981 at least two weeks prior to the change. Acknowledge * I/we, the undersigned, OWNER(s) of the property listed above, hereby apply to the Town of Olds for Utility Services. I/we understand that I/we am/are responsible for outstanding balances on this Utility account, and that the Town of Olds may disconnect services if this account is in arrears The Town of Olds may transfer outstanding balances to the Tax Account of this property. Signature * By checking this box I confirm I am authorized to sign for this application. Name of Applicant Privacy StatementThe personal information on this form is collected under the Freedom of Information and Protection of Privacy Act and will be used in order to process this form. See the Town of Olds Privacy Policy for more information. Leave this field blank