Disconnect and Removal Application

Contact Information
Account Number * Required
Account Holder Name * Required
First Last
Home Phone
Work Phone
Email * Required
Service Address * Required
Street Address Address Line 2 City Province Postal Code
Meter Number * Required
I am the * Required
- Property Owner
- Tenant
Immediate plans for property within next year * Required
Reason for removal * Required
Services to be disconnected
- Hydro Service
- Meter
- Sentinel Light
Are there any special access requirements Hydro needs to be aware of? * Required
- Yes
- No
Describe Special Requirements * Required
Town of Halton Hills Demolition Clearance Form
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 8 MB.
Please contact the Region of Halton at 866-442-5866 Ext. 311 to request disconnection and removal of water services and/ or meter if required. Please be aware that until the hydro meter is physically removed from the property, the account will continue to be billed and you will receive monthly hydro bills.
Consent * Required
I, the account holder for the hydro account hereby request to have the electrical service disconnected and removed. I have read Halton Hills Hydro’s Conditions of Service and understand that any new services to the property must comply with Halton Hills Hydro’s current Condition of Service.

I confirm that
Signature * Required
Requested By * Required
First Last
Date of Removal - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY

Contact Information