Security Deposit Waiver Authorization Form

Complete this form to allow Enova Power Corp. to supply your payment record to the utility mentioned in the form

Enova Power Account Information

Enter your Enova Power Account Information. Please note: only the primary account holder or an individual who is financially responsible for the account can complete this application

Account Number(Required)

Primary Account Holder(Required)

First Last

Additional Financially Responsible Party (if necessary)

First Last

Customer Email Address(Required)

Service Address(Required)

Street Address City Province Postal Code

New Utility Information

Utility Name(Required)

Account Number

Email Address for New Utility(Required)

New Service Address(Required)

Street Address City Province Postal Code

Customer Signature(Required)

I authorize Enova Power to supply my payment record to my new Utility noted above. I understand that this information is confidential and will be treated accordingly.

Date(Required)

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Security Deposit Waiver Authorization Form