Connect or Disconnect Residential Property Services

Please fill out the following form to connect or disconnect residential utility services with the Town of High River.

Residential property owners, please remember that this information is to be completed by registered owners only, renters cannot apply.

    Connect or Disconnect Residential Property Services

    How are you associated with this property?  

    Residential Tenants are NOT allowed to apply for utilities. It must be the property owner.

    Residential Tenants are NOT allowed to apply for utilities. Please have the owner of the property submit this form to apply for utilities.

    Owner Information

    Property Owner Full Name: 
    Service Address:
    Is the Mailing Address different from the Service Address?
    Property Owner Mailing Address (If different from the service address):
    Is there a secondary contact for this property?
    Secondary Contact
    Secondary Contact Full Name:
    I Would Like To:
    Is this a New Build?
    (New Builds Only) What size of garbage can would you like:

    *There is a garbage bin size change fee of $31.86 if you later decide to change the size of your bin.

    Would you like to sign up for Pre-Authorized Payments?
    Would you like to cancel Pre-Authorized Payments?
    Cancelling Pre-Authorized Payments
    Full Name:

    Account Number for All Other Town Services (i.e. housekeeping, rent, business license, etc.)

    Would you like to cancel pre-authorized payments for your Utilities Account? 

    *FINAL utility invoices can NOT be pre-authorized for withdrawal from your bank account unless the invoice due date coincides with the usual utility billing due dates which are the last business day of Jan, Mar, May, July, Sept, and Nov. Final Utility invoices will be generated approximately 1 to 2 weeks after your possession date and are due 3 weeks after the invoice date.

    Would you like to cancel pre-authorized payments for your Tax Account?  
    Would you like to cancel pre-authorized payments for your Accounts Receivable Account?

    Pre Authorized Payment Agreement:
    Set Up Pre-Authorized Payments Information
    Are you registering or changing your Pre-Authorized Payments?

    (i.e. housekeeping, rent, business license, etc)

    What accounts do you want to register?

    Please select all accounts that you would like to register for pre-authorized payments.

    What accounts would you like to change?

    Please select all account types you would like to change.

    Please see the Terms & Conditions above for details.

    This amount can be found on your most recent Property Tax notice or by calling (403) 652-2110.

    To be withdrawn over 12 months. This section applies to Property Tax payments only as Utility payments will match an invoice amount.

    NOTE: The Tax Account’s balance owing must be paid in full at the time of signing up for TIPP in order to keep the account current and in good standing.
    Banking Information

    Using the Sample Cheque pictured below, match the numbers on the image to the descriptive text above the picture to make sure you’re submitting the correct information from your cheque.

    A: This is the cheque number (do not enter this number)
    B: This is the transit/branch number (5 digit number).
    C: This is the institution number (3 digit number).
    D: This is the account number. Please include any zero’s (0) that precede the numbers.

    Pre Authorized Payment Agreement 
    Are you cancelling the pre-authorized payments because you have sold the property?
    Would you like your Utility Invoices emailed to you:
    Would you like your Property Tax Notices emailed to you?
    Would you like your invoices for other Town services emailed to you?
    Do you require an animal license?  

    (Please note your first initial animal license(s) will need to be collected and paid for at Town Hall and then will be renewed annually in January of each year)

    Please note your first initial animal license(s) will need to be collected and paid for at Town Hall and then will be renewed annually in January of each year
    Do you need to cancel an animal license?
    By selecting I AGREE - I consent that the notices, bills, invoices and communications for my above accounts will be provided by email to the email address listed above, and I will no longer receive a paper copy. I understand that it is my responsibility to provide the correct email address and to inform the Town of High River in writing of any changes to this email address. I understand that non-receipt of my notices, bills or invoices is not justification for late payment, and penalties will not be waived as a result.
    Do you agree to the above statement?  
    Verification 
    Electronic Messaging
    The information collected via this form is being collected by the Town of High River pursuant to legislation governing the information handling practices of the Town of High River, specifically Sections 4(a) and (c) of the Protection of Privacy Act (Alberta), the Municipal Government Act (Alberta), and other legislation or bylaws governing the municipality, as may be applicable. By submitting this form, you acknowledge that in accordance with Section 20(2)(a) of the Access to Information Act (Alberta), your name, address and other details related to your request will be used to process your request. Should you have any questions relating to the collection or disclosure of your personal information, please contact Privacy Officer for the Town of High River at ATIPP@highriver.ca or 403-652-2110

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    309B Macleod Trail S.W., High River, Alberta

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    Monday to Friday 8:30am - 4:30pm (Closed on statutory holidays)

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    corporateservices@highriver.ca

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    403-652-2110

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