Required fields are marked with asterisks (*)

Water Account Information Request Form

To submit a request for water account information for your property, please complete this form.

Confirmation of your identity and your authorization to access information on this property will be required.

First Name

Last Name

Mailing Address

City

Province

Postal Code

Telephone

Water/sewer account no.

Property street address

What information would you like:

Confirmation of payment

Verbal confirmation of amounts paid for previous year

Copy of a water bill ($5 fee per bill copy)

Other

Water statement of account ($5 fee per year)

Identity confirmation

To ensure you have the authority to request information regarding this water account included in this form, please answer one of the following questions.

The City may contact you directly to verify your identity and ensure that you are an authorized agent on the water account included in this authorization form.

Please choose an identity confirming question - water/sewer account

Last payment amount and date

Amount due on last bill

Confirm your closing date

Personal information on this form is collected under the authority of the Municipal Act, R.S.O. 1990 and will be used to process this form.

Questions about the collection should be directed to: Freedom of Information Co-Ordinator, Office of the Clerk, P.O. Box 1044, 3540 Schmon Parkway, Thorold, Ontario, L2V 4A7, 905-227-6613.

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