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*
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 under the authority of section 33(c) of the Freedom of Information and 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 FOIP Coodinator by calling 780-675-2273.
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