Required fields are marked with asterisks (*)

Utilities Application

Town of Olds Bylaw 2024-07, 2024-09 & 2024-10

This Form Is To Be Completed By The Owner Of The Property

Property & Owner Information

Possession Date

Municipal Address of Property

Is this a New Build?

Yes

Property Owner Name or Company Name

Name of Company Owner

Property Owner Mailing Address, including Postal Code

Home phone

Cell phone

Business phone

Email Address for E-Billing

E-Billing

Opt out of E-Bill. Fees will apply.

Receive E-Bill (automatically selected unless above selection is chosen)

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)

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)

Property Manager Phone

Property Manager Email

Notification of Changes

Please notify the Town Office at 403-556-6981 of any changes at least two weeks in advance.

I/we, the undersigned property owner(s), apply for Utility Services with the Town of Olds. I/we understand that I/we are responsible for any outstanding balances on this account and that services may be disconnected if the account is in arrears. Outstanding balances may be transferred to the Tax Account for this property as per the Town of Olds bylaws. I/we agree to receive monthly invoices via email unless the opt-out box is checked. By subscribing to the E-bill service, I/we acknowledge that invoices will be sent as a PDF attachment to the provided email address. It is my/our responsibility to ensure that the correct email is provided and to notify the Town of Olds of any changes. Failure to receive the invoice does not exempt me/us from timely payment, and penalties will apply for late payments. I/we understand that I/we do not receive paper invoices, and that full payment is required on time, regardless of whether the bill is based on an estimate or actual reading.

Signature

By checking this box I confirm I am authorized to sign for this application.

Name of Applicant

Signature

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