Permanent or Temporary Disconnection Authorization Form

Please complete this form if you are the owner of the property being disconnected.

* Please note that if the service address is in the City of Waterloo or the Township of Woolwich, and you plan to demolish the building, you must include a Demolition Tracking Sheet with your application form. You will require a completed copy of the City of Waterloo’s Tracking Sheet or the Township of Woolwich’s Permit before proceeding.

*if the service address is in the City of Kitchener or the Township of Wilmot, and you plan to demolish the building, you must include a Demolition Tracking Sheet with your application form. You will require a completed copy of the City of Kitchener Tracking Form or the Township of Wilmot Tracking Form before proceeding.

Disconnection Authorization Form

Please complete this form to submit your request for disconnection

Where is your property located?(Required)

Kitchener or Wilmot

Waterloo, Woolwich, or Wellesley

Service Address(Required)

Street Address (including unit number) City Postal Code

Name (Owner of Property)(Required)

First Last

I, being the owner of the above-mentioned property, authorize Enova Power Corp. to disconnect the power.

Reason for disconnection

I certify that no other person will be adversely affected by this disconnection. (i.e. all tenants and/or persons have vacated the property)

I authorize disconnection at the:(Required)

Pole – Permanent disconnect and removal of service to the property

Meter- Disconnect at meter only – service to the property will remain

I authorize permanent disconnect and removal of service to the property(Required)

I confirm

I understand that if I decide to have power at this location again, it will be treated as a new service and all connection and other installation fees, Electrical Safety Authority (ESA) Inspections and site layouts will be required. If I decide to have power restored, the ESA must inspect and approve it before Enova can reconnect. NOTE: If power has not been reconnected within 6 months from the date that it was cut off, Enova reserves the right to permanently disconnect the service and remove all hydro service to the property. If I decide to have power at this location again after this has been done, it will be treated as a new service and all connection and other installation fees, ESA Inspections will be required.

Electrical Meter Number(Required)

Location

Outside

Inside (provide access)

Enova Account Number(Required)

I would like the power disconnected on:

(please provide a minimum of 15 days notice)

Contact Phone Number

Email Address(Required)

Signature(Required)

Enova Power requires confirmation of a permanent disconnect within 60 days of the disconnect request date for confirmation of booking and vacancy of tenant’s property.

Permanent or Temporary Disconnection Authorization Form

Disconnection Authorization Form

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