Utility Account Form

This form is used to either hook-up or disconnect a utilities account with Athabasca County.

Type of Service Change*
- Connection
- Disconnection
Type of Account*
- Residential
- Commercial
Previous Utility Account Number (if applicable)
*
Service Address (legal) Hamlet
First and Last Name*
Email*
Mailing Address*
Street Address/PO Box Community Province Postal Code
Phone Number*
Information Collection Disclosure*
- I agree to provide my contact information for notifications associated with this service request
Personal information is collected in accordance with the Municipal Government Act and is protected by the provisions under section 4(c) of the Protection of Privacy Act and will be used for managing and administering this submission with Athabasca County. If you have questions regarding the collection, use or disclosure of this information contact the ATI Coordinator by calling 780-675-2273.