Moving Request Form

We look forward to assisting you with your move.

Please note that all personal information is collected, retained and disclosed in accordance with our Privacy Policy. The terms and conditions for service are outlined in detail in our Conditions of Service. There is an account set up charge of $15 plus HST, which is added to your final bill. Mandatory fields are indicated with a red astericks (*)

Account Name*

First Last

Account Number

Current Service Address*

Street Address Address Line 2 City Province Postal Code

Work Phone

Extension

Home Phone*

Cell Phone

Email Address*

Enter Email Confirm Email

Move Out Date:*

NOTE: Move out date must be a working day (not a weekend). If you're moving out due to sale of the property, your move out date must be the legal closing date.

Will you be moving into a new address within ERTH Power's service territory?*

Yes
No
I don't know who services my new address

New Service Address*

Street Address Address Line 2 City Province Postal Code

Regulated Price Plan*

Effective Oct 13, 2020, if you’re a residential or small business customer you can choose to pay Time of Use (TOU) electricity prices or Tiered prices beginning November 1, 2020. Information to assist you making this decision can be found on our website at www.erthpower.com/choice or on the Ontario Energy Board's website at www.oeb.ca/choice. I'd like to choose:

Please choose an option that best describes you at your new service address..*

Owner
Tenant

Owner Name

First Last

Owner Address*

Street Address Address Line 2 City Province Postal Code

Mailing Address

This information is required to forward your final bill or provide ERTH Power with contact information for your new address.

Street Address Address Line 2 City Province Postal Code

Automatic eBilling Registration

To opt out, please contact a customer service representative at 1-877-850-3128

You have been automatically registered for eBilling services, allowing you access to our secure, paper-free services that stores your bills online and gives you the convenience of viewing your account 24 hours a day, 7 days a week and making bill paying easy. You will not be receiving paper copies of your bill in the mail. To opt out, please contact a Customer Service Representative at 1-877-850-3128

Please note that Date of Birth is required for each adult occupant listed. This information is used for security identification purposes, as outlined in our Privacy Policy

Date of Birth*

Will there be an additional adult living with you that should be listed on the account?*

Yes
No

Additional Adult Name

First Last

Additional Adult Phone*

Additional Adult Email*

Additional Adult Date of Birth*

Move In Date*

If date falls on a weekend/holiday, service will be done on the next business day

Is there a third party you wish to authorize to represent you in respect to your account?*

Yes
No

3rd Party Name*

First Last

3rd Party Home Phone*

3rd Party Cell Phone

3rd Party Email

3rd Party Authority

Please indicate the authority you wish to grant the 3rd party (Check all that apply)

Select All
Bill/Payment History
Usage History
Emergency Information Concerning my Premise
Other

If Other, please indicate autority below.

Phone

This field is for validation purposes and should be left unchanged.

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