Subdivision Development Service Request

Service Details

Service Address

This Request is for an address that is...

My Address is a Riverlot

Qtr/LSD * NE NW SE SW 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Section *

River Lot

Section *

max 3 characters

Township *

Range *

Meridian *

W 1 2 3 4

LSD

max 2 characters

Unit Type Apt Suite Unit

Unit

House *

Street

Lot *

Block *

Plan

Latitude

If applicable

Longitude

If applicable

ISC Parcel Click on image for more Re-Estimate information

Subdivision

If applicable

Resort/Lake/Beach Name

City/Town

First Nation Name

Reserve #

Unit Type Apt Suite Unit

Unit

House

Street

Lot *

Block *

Plan

Latitude

If applicable

Longitude

If applicable

ISC Parcel Click on image for more Re-Estimate information

Subdivision Name

If applicable

Resort/Lake/Beach

City/Town

Rural Municipality(RM#)

My Address is a Riverlot

Qtr/LSD NE NW SE SW 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Section

River Lot

Township

Range

Meridian

W 1 2 3 4

Unit Type Apt Suite Unit

Unit

House

Street

Lot

Block

Plan

Latitude

If applicable

Longitude

If applicable

ISC Parcel Click on image for more Re-Estimate information

Subdivision

If applicable

Resort/Lake/Beach Name

City/Town

Rural Municipality(RM#)

Attach a Site Plan

Upload File(s) Click on image for more Re-Estimate information Help us understand the problem by providing any relevant pictures or diagrams

Upload file(s)

Upload Files

Maximum file size: 10 MB per fileAcceptable file types: GIF, JPG, JPEG, DOC, DOCX, BMP, PDF, PNG, PPT, PPTX, XLS, XLSX, VSD, DWG, DXR, DWF, TIF, TIFF

Is a Deep Service Plan attached?

Yes No

Note: Deep Servicing Plan may be required to complete the final design.

Requested In-service Date

Applicant Information

The applicant is a person who will be responsible for power billing services. If you are making a 3rd party application, please be sure to include proof of your authorization to submit on behalf of person going into billing. The application might not be approved if it isn't submitted by an authorized person.

Co-Applicant Information

The co-applicant is: Business Private Owner

Company

Mailing Address

CountryCountry Canada Mexico United States

City/Town

Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Postal Code

Postal Code

Business Phone

Ex: (306) 234-5678 ext 999999

Fax

Ex: (306) 234-5678

Type of Business

Account/Admin Password

Contact Person Name

Contact Person Number

Ex: (306) 234-5678

Contact Person Email

Contact Person Confirm Email

First Name

Middle Initial

Last Name

Mailing Address

CountryCountry Canada Mexico United States

City/Town

Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Postal Code

Postal Code

Note - At least one of the following two numbers is required:

Home Phone

Ex: (306) 234-5678 ext 999999

Mobile Phone

Ex: (306) 234-5678

Contact Email

Confirm Email

Emergency Contact and Protecting your Privacy

Emergency Contact Name

Emergency Contact

Ex: (306) 234-5678 ext 999999

To protect your privacy, please provide the following information so we may validate your identity in future contacts.

Place of Employment

Work Phone

Ex: (306) 234-5678 ext 999999

At least one of the following three:

Mothers Maiden Name

Date of Birth

Account/Admin Password

At least one of the following two:

Driver's License Number

Treaty Number

Remove co-applicant

Add a co-applicant

Construction Contact Information

Contractor Information

Comments

Confirmation