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Utilities - Report a payment

Please note that reporting a payment does not exclude the property owner from receiving late payment penalties or an arrears notice card.

Utility number

How much was paid

When it was paid

How it was paid

Additional comments

Phone number

Verification

Name

Date

Signature I acknowledge that [by displaying/typing my name above], I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature.

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FOIP (privacy statement)

The information on this form is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act ("the Act") and will be used solely for the purposes of administration and analysis of the Utilities Programs.

It will be treated in accordance with the privacy protection provisions of Part 2 of the Act. Questions concerning collection of this information can be directed to the Team Leader, Utility Administration at 400 Main St. SE, Airdrie, AB T4B 3C3 or at 403.948.8859.