Utilities - Report a payment

Reporting a payment does not exempt the property owner from late payment penalties or the issuance of an arrears notice card.

Utility number

How much was paid

When it was paid

How it was paid

Phone number

Comments

Verification

Name

Date

Signature I acknowledge that [by displaying/typing my name above], I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature.

The personal information on this form is collected under the authority of Section 4(c) of the Protection of Privacy Act (“the Act”) and will be used solely for the administration and analysis of the City of Airdrie's utility service.

It will be treated in accordance with the Collection of Personal Information provisions (Part 1, Division 1) of the Act. Questions concerning collection of this information can be directed to the City of Airdrie at 400 Main Street SE, Airdrie, AB T4B 3C3 or 403.948.8800.