To set up an account, please complete the form below: <form-template> <fields> <field type="text" subtype="text" required="true" label="Service Address" class="form-control text-input" name="text-1659041577819"></field> <field type="date" required="true" label="Move in Date" class="form-control calendar" name="date-1659042524165"></field> <field type="checkbox" label="I am the property owner. " class="checkbox" name="checkbox-1659041804329"></field> <field type="header" subtype="h3" label="As Property Owner," class="header"></field> <field type="paragraph" subtype="p" label="I hereby request the Town of Wynyard to commence water and sewer service at the above service address. I understand that I am responsible for all amounts outstanding on the account from the date service commences to the date it is terminated. Any unpaid balance from this utility account may be transferred to any other water and sewer account that may be in my name or to my property tax account in pursuant to Section 369, The Municipalities Act." class="paragraph"></field> <field type="checkbox" label="I am a tenant. " class="checkbox" name="checkbox-1659041825185"></field> <field type="header" subtype="h3" label="As Tenant," class="header"></field> <field type="paragraph" subtype="p" label="I hereby request the Town of Wynyard to commence water and sewer services at the above service address. I will pay the account deposit and service connection as stated in accordance with Bylaw No. 33-13. I understand that the account deposit shall be refunded when the water services have been discontinued, less any outstanding amounts due at the time of the services being discontinued. I also understand that I am responsible for all amounts outstanding on the account from the date service commences to the date it is terminated. Also, I authorize the Town of Wynyard to provide a copy of my utility notices and any other notices related to this property to the property owner." class="paragraph"></field> <field type="text" subtype="text" required="true" label="Customer Name" class="form-control text-input" name="text-1659041556426"></field> <field type="text" subtype="text" required="true" label="Mailing Address" class="form-control text-input" name="text-1659041598349"></field> <field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1659041764507"></field> <field type="text" subtype="text" label="Email Address" class="form-control text-input" name="text-1659041783557"></field> <field type="header" subtype="h2" label="For office use only:" class="header"></field> <field type="date" label="Date Received:_______________________" class="form-control calendar" name="date-1659041548314"></field> <field type="text" subtype="text" label="Meter Reading: ____________ Completed by: ________________ Date of Reading: ________________" class="form-control text-input" name="text-1659041904794"></field> <field type="text" subtype="text" label="Deposit paid date:___________ Receipt # __________________" class="form-control text-input" name="text-1659041920974"></field> <field type="text" subtype="text" label="Utility Landlord Agreement: Sent on:___________ Received on:__________________" class="form-control text-input" name="text-1699478210335"></field> <field type="text" subtype="text" label="New Account # ___________________ Set up on:___________ By who:__________________" class="form-control text-input" name="text-1659042115559"></field> <field type="text" subtype="text" label="Service Charge Set up on: ___________________" class="form-control text-input" name="text-1699478386002"></field> <field type="text" subtype="text" label="Notes (If applicable) " class="form-control text-input" name="text-1659042270790"></field> </fields> </form-template> Submit Submitting...