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Legal Name Only
You will need to complete a Pre-Authorized Payment form together with a void cheque at the town office.
Click this link for pre-authorized payment plan form.
(If different than Service Address above)
If you wish a copy of the monthly billing sent to either the Tenant or the Property Manager, complete the following.
If your lease clearly states the responsible party to maintain the Water Utility Account [ i.e. if included in monthly rent or if Tenant is to pay monthly to the Town Office]. Please note all unrelated information will not be kept on file.
The undersigned hereby represents that he/she is the applicant or an authorized agent for the applicant, and that he/she has the authority to sign this contract for Utility Services consisting of water, waste water, garbage collection, and recycling collection. The applicant agrees to comply with all provisions of Bylaw 28-2017, including payment for all utilities services supplied by the Town of Slave Lake to the above service address until such time as the applicant or authorized agent requests in writing that the contract be terminated. It is understood that in the event of late payment or non-payment, in addition to other remedies the Town of Slave Lake may have, the amount owing for utilities service shall bear a penalty charge in accordance with the Municipal Government Act and Bylaw 28-2017 and that non-compliance with the provisions of said Bylaw may result in disconnection of utilities services by the Town of Slave Lake. The applicant acknowledges that the failure to receive or the loss of a Utility Statement will not be accepted as a reason for non-payment.
Deposits levied and paid in accordance with Town of Slave Lake, Bylaw 28-2017 will be retained for the duration of their Utilities Services agreement with the Town of Slave Lake.
The applicant hereby agrees to abide by the terms and conditions specified in the Town of Slave Lake Bylaw 28-2017.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
The individuals signing the application should only be the primary applicant and co-applicant as these individuals are financially responsible for the maintenance of the Utility Account.
If the Optional section is completed an additional invoice will be sent to the Tenant(s) and Property Manager(s).
This field is not part of the form submission.
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