Credit Check

Credit Check Application

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This field is for validation purposes and should be left unchanged.
The following information is required in order for ERTH Power Corporation to conduct a credit check for the purposes of obtaining a deposit exemption. If you choose for ERTH to conduct a credit check, a charge of $15.00 plus credit agency costs will appear on your first bill regardless of the results of the credit check. If a security deposit exemption is granted, but a good payment record cannot be maintained, a security deposit will be required. By accepting service from us, using our website, or otherwise providing us with your personal information, you are accepting the policies and practices described in our Privacy Policy.
Move In Date*
Contact Information*
First Last
Home Phone*
Cell Phone
Work Phone
Extension
Email Address*
Enter Email Confirm Email
Are you the property owner or a tenant?*
- Owner
- Tenant
Owner's Name*
First Last
Owner's Address*
Street Address Address Line 2 City Province Postal Code
Have you moved into the property already?*
- Yes
- No
What is the address of property you've moved into?*
Street Address Address Line 2 City Province Postal Code
What is the address of the property you will be moving into?*
Street Address Address Line 2 City Province Postal Code
What is your previous address?*
Street Address Address Line 2 City Province Postal Code
What is your current address?*
Street Address Address Line 2 City Province Postal Code
Mailing Address*
Street Address Address Line 2 City Province Postal Code
Date of Birth*
Consent*
I certify all information submitted to be true and complete and authorize ERTH Power Corporation to obtain or exchange this personal information with a third party for purposes of obtaining a deposit waiver.