Required fields are denoted with  *

I am Moving:*

If you are moving into and out of properties in the CRD Water Area, please complete a form for both the move-in and move-out.

DD/MM/YYYY

For new accounts, please list all tenants at the property who should have access to the water account. If additional space is needed, please use the comment box below.

First Name, Middle Name, Last Name
First Name, Middle Name, Last Name

Landlord or Property Management Company Information

Please note, billing cycles do not start and stop as residents change – water utilities are tied to the property, not the person. Please ensure you work with the landlord or property manager to ensure previous balances are paid and determine your responsibility for the water bill.

The personal information requested on this form is collected for the purposes of keeping the billing information up-to-date under section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA). The information will only be used for the purpose. Direct any questions about this collection to Senior Coordinator, FOIPPA at 250.360.3015.