Utilities Application

THIS FORM IS TO BE COMPLETED BY THE OWNER OF THE PROPERTY

Property & Owner Information

Possession date *

Month

Day

Year

Municipal address of property *

Does the property require Roll Out Bins? (Applies to brand-new residences ONLY) *

Yes

Property Owner name or Company Name *

Name of company owner

Property Owner Mailing Address, including Postal Code *

Home phone *

Cell phone

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

Day

Year

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

Day

Year

Property Manager phone

Property Manager email

Notification of Changes

When 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 Statement

The 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

Search form

Utilities Application