Utility Application for Homeowners

Please note: This form is for homeowners only. There is a different application process for renters. Homeowners can fill in the form below to apply for water and waste collection services within the City of Spruce Grove.
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Service information

Possession Date
Service Address
Postal Code
Mailing Address (if different than service address)
Is this a newly built home?
YesNo
If yes, please select the size of your black waste cart:
240 litre (regular-sized)120 litre (small)

Customer contact information

Registered owner(s) only.

Owner 1

First or given name(s)
Last name
Date of birth
Phone number
Alternate phone number (ie. cell phone)
Previous or current address
Previous postal code
E-mail address

Owner 2 (if applicable)

First or given name(s)
REQUIRED
Last name
REQUIRED
Date of birth
Phone number
REQUIRED
Alternate phone number
Previous or current address
REQUIRED
Previous postal code
REQUIRED
E-mail address

Notes

Additional information or comments

I hereby make application to the City of Spruce Grove for a utility account to receive water and waste collection services. I understand that failure to keep payments current may result in a disruption of utility services.

Your personal information is being collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act, RSA, 2000 and will be used for the provision of utility services and the collection of utility charges. It will be treated in accordance with the privacy protection provisions of Part 2 of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of your personal information, contact the FOIP Coordinator, Ms. Tania Shepherd, at 315 Jespersen Avenue, Spruce Grove, Alberta, T7X 3E8, 780-962-7634, Ext. 154.

I am the registered owner of this property and I agree to these terms
(There is a different application process for renters)