Form Builder No Banner

Required fields are marked with asterisks (*)

Temporary Power Service Application

Temporary Service

Applicant information

Please provide Certificate of Incorporation and Notice of Directors

A letter indicating who has been granted signing authority for the company is acceptable if you do not have a Notice of Directors.

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Access your utility information anytime from the secure internet site by signing up at www.medicinehat.ca/eutility

By checking "I agree", the customer hereby contracts with the City of Medicine Hat for the utilities applied for, hereinafter referred to as the “services”. The Customer will pay to the City of Medicine Hat all amounts stated on the monthly utility billing for and in consideration of the services provided by the City of Medicine Hat, until such times as the customer applies in writing to have such services discontinued. I hereby agree to abide by all Utility Bylaws and Regulations now and hereafter in force.
 

Temporary service charges will be billed to your utility account

Temporary servicing for Greenfield residential lots will be discontinued effective January 1st, 2023. 

Effective January 1st, 2023, temporary servicing for Brownfield residential lots shall only be permitted when pre-servicing is deemed impractical. The Utility will determine on a case-by-case basis.

Pursuant to s. 33 (a) of the Freedom of Information and the Protection of Privacy Act, the personal information collected on this form is for the purpose of an enactment of Alberta. Questions regarding the collection and use of personal information can be directed to the FOIPP Head of Local Body at 403 529 8234.
 
By submitting this application/form you acknowledge and agree that any electronic signature provided by you herein is the same as a handwritten signature for the purposes of legality, validity, enforceability, and admissibility.
Clear