Instructions

Please complete only one electricity application for your registered small business or registered charity. You cannot receive COVID-19 Energy Assistance Program for Small Business (CEAP-SB) funding for multiple storefronts or locations, and you can only receive CEAP-SB funding from Kitchener-Wilmot Hydro once. If you have natural gas service, you may also be able to apply separately for natural gas CEAP-SB support through your natural gas utility.

After you have provided your information, please sign this form and provide your consent by:

(a) if submitting electronically, typing your name(s) in Section 4; or

(b) if submitting by mail, you may print the completed form and sign Section 4 by hand.


Please ensure that the information provided is accurate and up-to-date.

Once completed, please click or tap "Submit" at the bottom of the form. You can also download, complete and submit your form by email to ceap@kwhydro.ca or by printing and submitting a completed copy to:

Address block for Kitchener-Wilmot Hydro Inc.


CEAP-SB funding is limited and applying does not guarantee that there is CEAP-SB funding remaining. Applications will be processed in the order they are received.


For information on residential CEAP and lower-income energy support programs available, please visit the Ontario Energy Board’s website.


 

Section 1: Notice and Consent

When submitting this completed form to Kitchener-Wilmot Hydro Inc. ("Kitchener-Wilmot Hydro"), please do not provide any personal information. The term “personal information” has the same meaning as under the Freedom of Information and Protection of Privacy Act, R.S.O. 1990 c. F.31. Please note that information requested in this form is business identity information (i.e. name, title, and business contact information), not personal information.

Should any personal information be provided within this form, this personal information will  be collected by Kitchener-Wilmot Hydro in accordance with applicable privacy legislation such as the Municipal Freedom of Information and Protection of Privacy Act or the federal Personal Information Protection and Electronic Documents Act and the licence granted to us by the Ontario Energy Board under the Ontario Energy Board Act, 1998.

Your business information is being collected for the purpose of administering CEAP-SB, including but not limited to, determining your eligibility for CEAP-SB.

In addition, Kitchener-Wilmot Hydro may use information already collected from you for the purposes of administering your Kitchener-Wilmot Hydro account (e.g., any data respecting billing, bill payments), for the purposes of evaluating your eligibility for CEAP-SB and administering CEAP-SB. 

The funding for CEAP-SB is provided by the Government of Ontario. Given that, in order to verify and determine whether you were eligible for CEAP-SB and/or to otherwise administer CEAP-SB, it may be necessary for Kitchener-Wilmot Hydro to share your information with the Ministry of Energy, Northern Development and Mines. If the Ministry of Energy, Northern Development and Mines requests any of the information, including personal information contained in this form in order to verify your eligibility for CEAP-SB or for audit purposes related to the administration of CEAP-SB, Kitchener-Wilmot Hydro will supply it to them. The Ministry of Energy, Northern Development and Mines may contact you for further information as part of their audit. You are encouraged to retain any documentation that demonstrates you meet the eligibility for CEAP-SB.


By completing and submitting this application form, you are consenting to the collection, use, and disclosure of your information, including personal information as described above.


If you have questions about the collection of the information in this form, please contact us by email at customercare@kwhydro.ca or by telephone at 519-743-3600. 


 

Section 2: Utility Account Information

Before you begin, make sure that you have a copy of your bill for reference. 

Please enter your information exactly as it appears on your small business or registered charity’s Kitchener-Wilmot Hydro bill. If the information is not entered as it appears on your small business or registered charity’s Kitchener-Wilmot Hydro bill, your application may not be processed until the information can be corrected and verified.


 

Section 3: Program Eligibility Requirements

3. As of the date you are applying, does your small business or registered charity have either:

  1. an active account with Kitchener-Wilmot Hydro as a general service < 50 kW customer; or 
  2. an active account with a unit sub-meter provider and use less than 150,000 kWh of electricity annually?

6. Was your small business or registered charity required to close its premises to the public for regular operations for at least fifteen days as a result of a government order or an inability to adapt its business to comply with public health recommendations?


 

Section 4: Declaration

By signing below,

  1. I declare that the information I have provided in this application is true and correct; and
  2. I indicate my consent to the collection, use and disclosure of my information, including personal information, if applicable, as described in this form.