Service Agreement for Residential Hydro Service

Mandatory fields are indicated with a red asterisk (*)

Service Information


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Owner Tenant *

New Service Address


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Will your mailing address be different than your service address?

Yes

Mailing Address


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Applicant Information


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EI Ontario Works ODSP Pension

2 photocopied pieces required - * one must be photo ID - No Health Card

Drivers License Birth Certificate SIN Passport Other *
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Drivers License Birth Certificate SIN Passport Other *
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please be advised that your request for service will be rejected if the proper identification is not attached *
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What is a co-applicant?

Emergency Contact Information

(Please provide contact who does NOT live at this address)


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If you wish to authorize a third party to access / discuss your account, please list:

Pricing Framework


Under TOU pricing and ULO Pricing, consumers pay higher prices when electricity is more expensive to produce and lower prices when it is less expensive. This pricing framework gives consumers the opportunity to lower their costs by shifting their usage to less costly times of the day. This is the default plan today.

Under tiered pricing, consumers pay a set rate for electricity up to certain level of consumption. The rate increases for all additional electricity used when consumption by these customers exceeds that threshold.


Bill Delivery


Yes No *

Payment Options


North Bay Hydro is pleased to offer the following payment options: Click Here


I, the consumer, hereby request North Bay Hydro Distribution Ltd. (NBHDL), to supply electrical energy to the location(s) as requested. This agreement will also include all rental equipment, owned by North Bay Hydro Services (NBHS). When signed, this Conditions of Services, which are available upon request or online at www.northbayhydro.com, and agree that the Conditions of Service are apart of this contract.

I agree to accept financial responsibility for the account and can access all account information; I further agree to pay NBDHL the applicable rates and charges as approved by the Ontario Energy Board.


Security Deposit


Please note that a security deposit may be required as per North Bay Hydro conditions of service

A $30.00 Administration fee (change of occupancy) will be on your first consumption bill


Pre-authorized Payment Agreement


Yes, I would like to sign-up for pre-authorized payments.

Pre-Authorized Payment Details

You the payor Authorize North Bay Hydro, and the financial institution designated to begin deductions as per your instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under your North Bay Hydro account(s). Regular monthly payments for the full amount of services delivered will be debited to your specified account each month on the due date of your invoice. North Bay Hydro will send you an invoice each month which will specify the date and amount of each regular debit.

This authority is to remain in effect until North Bay Hydro has received notification from you of its change or termination. This notification must be received at least 14 business days before the next scheduled payment date at the address provided above. To obtain a sample cancellation form, or more information on your right to cancel a PAP Agreement, contact your financial institution or visit www.cdnpay.ca

The only documents we accept for pre-authorized payments are void cheques or direct deposit forms for either a chequing or savings bank account. We do not accept credit cards or any other form of ID or payment.

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Co-Applicant Information Click here to remove this co-applicant


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EI Ontario Works ODSP Pension

2 photocopied pieces required - * one must be photo ID - No Health Card

Drivers License Birth Certificate SIN Passport Other *
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Drivers License Birth Certificate SIN Passport Other *
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