Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Water & Sewer Move Out Form

  1. Section 1 - Service Address Information

  2. Sold Home

    If No, please be aware that all utility accounts must be in property title owner’s name. If property is a rental please be aware that we no longer do billing for renters moving out just the regular bi-monthly billing no application is need to be filled out.

  3. Section 2 - Homeowner Information

  4. Section 3 - Forwarding Address

  5. Canada Post will forward my mail

  6. Section 4 - Other Town Accounts to Cancel

  7. Accounts to Cancel

  8. Other Applications You May Need

    - Tax Installment Program Plan Change
    - Utility Account Pre-Authorization Change

  9. Section 5 - Authorization

  10. We/I, the registered Owner(s) of the above service address understand we/I are responsible for the Utility Bills. Non-payment of the Utility Bills that go over 120 days will result in transfer of outstanding balances to collections in pursuant to Beaumont's Bylaws.

    We/ I certify that the information given on this form is true and complete to the best of my knowledge and acknowledge my authorization of the information to be used for the purposes identified above.

  11. Electronic Signature Agreement

    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.

  12. If you have questions on utilities contact:

    City of Beaumont - Utilities
    5600 - 49 Street
    Beaumont, AB T4X 1A1
    Phone: 780-929-1351
    Fax: 780-929-8729
    Email

  13. The personal information requested on this form is being collected under the authority of the City of Beaumont Bylaw 382 and Section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. The information collected will be used as for the purpose of setting up utility billing.

    If you have any questions about the collection or use of your personal information, contact the City of Beaumont’s FOIP Coordinator at:
    City of Beaumont's FOIP Coordinator
    5600-49th Street
    Beaumont, AB T4X 1A1
    Phone: 780-929-8782

  14. Leave This Blank:

  15. This field is not part of the form submission.