Move In - New Customer - Halton Hills Hydro

Account Information

Full Name *

Account Ownership *

Owner
Tenant

Move In Date *

Move In Dates scheduled for weekends or holidays will be read on the first available business day after.

Moving to Address *

Street Address Address Line 2 City Province Postal Code

Previous Address *

Street Address Address Line 2 City Province Postal Code

Mailing Address

If different from moving to address

Street Address Address Line 2 City Province Postal Code

Current Home Phone No. *

New Home Phone No.

Business Phone No.

Cell Phone No.

Fax

Email *

Employer *

Date of Birth *

Co-Applicant Information

Co-applicant

Co-applicant Home Phone No.

Co-applicant Cell Phone No.

Co-applicant Email

Co-applicant Employer

Co-applicant Date of Birth

Landlord Information

Landlord’s Name

Landlord's Phone

Landlord's Address

Street Address Address Line 2 City Province Postal Code

Pricing Plan

Pricing Plan Options: *

Residential customers have the option of choosing between Time-of-Use and Tiered pricing for the electricity they use. Under Time-of-Use pricing, the price you pay for electricity depends on when you use it. Under Tiered pricing, you can use a certain amount of electricity each month at a lower price, and once that limit is exceeded, a higher price applies. For more information on Time-of-Use and Tiered Pricing and tools to help you decide which price structure is right for you, please visit https://haltonhillshydro.com/for-home/electricity-pricing/. To view the current electricity prices visit the Ontario Energy Board’s website at www.oeb.ca/choice

Note: you can change your pricing option at any time.

(A) I wish to be billed Time-of-Use Pricing
(B) I wish to be billed Tiered Pricing

Payment Plan

Payment Plan Option *

NOTE: Options A & B complete the banking information below or attach a void cheque along with this application form. Option A. Pre-Authorized payments are deducted from your bank account upon due date of your bill. Option B. Equal Payment/Pre-Authorized payments are deducted from your bank account and our office will contact you with withdrawal date and amount.

(A) I/We wish to enroll in the Pre-Authorized Payment Plan.
(B) I/We wish to enroll in the Equal Payment/Pre-Authorized Payment Plan.
(C) None of the above.

Banking Information

Bank Holders Name *

Please, choose an option for send your bank account informaton *

Enter Banking Details Below
Attach a Cheque

Name of Bank *

Where can I find my banking information?

Bank Transit *

Bank transit must contain 5 characters

Bank Number *

Bank number must contain 3 characters

Account Number *

Attach a Cheque *

Max. file size: 8 MB.

E-Bills

Receive your hydro bill via email, and review your billing history online. Register now and your next hydro bill will be sent to the email address listed below.

Enroll in E-Billing

Enroll
Opt-Out

Email *

Enter Email Confirm Email

Security Arrangements

If a security deposit or credit check is required, you will be contacted by our office.

Third Party Notification Authorization

To protect your privacy our staff will not discuss details of your account with anyone other than those listed on your account. If you wish to designate a third party, who our staff can contact regarding your account for various reasons, you may give authorization below:

Contact

Contact Phone

Acknowledgement

I/We agree to accept Distribution Services from Halton Hills Hydro in accordance with their Condition of Service and be bound by them as they exist and are subject to change. Halton Hills Hydro’s Conditions of Service may be viewed on our website at www.haltonhillshydro.com. If you are a tenant, the owner’s name and address will be used to provide notice in the event your service is disconnected. The owner may also be notified of your final billing date. Primary applicant listed above accepts financial responsibility for the account and can access all account information.

Halton Hills Hydro is the billing agent for Halton Region water services. I/WE agree to accept water services from Halton Region (if applicable). Halton Region’s unpaid water arrears may result in water service interruption pursuant to Part XII of the Municipal Act, 2001 and Halton Region’s Waterworks By-Law, fees and charges are deemed to constitute a debt of the consumer to the municipality. The Act enables this debt to be added to the Tax Roll and collected in the same manner as municipal taxes. If you are a tenant with outstanding water arrears the property owner may be notified.

Accept Terms *

I Accept

Move In – New Customer

Account Information

Co-Applicant Information

Landlord Information

Pricing Plan

Payment Plan

Banking Information

Where can I find my banking information?

E-Bills

Security Arrangements

Third Party Notification Authorization

Acknowledgement

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