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Residential Move In/Move Out Form


Customer Information: For Residential account holder(s). 

Click ADD to enter secondary account holder information if applicable. 


Security Deposit may be applied.  To have this waived you may:

Kitchener-Wilmot Hydro Inc. (The "Corporation")

I, the owner or tenant make application for electric service at the above referenced service address.  I agree to pay, jointly and severally, for all rates and charges for said service supplied to the service address and agree to be bound by the Rules and Regulations of the Corporation.

If the Applicant is a company, the signing officer(s) warrants that he/she has authority to bind the company.  The undersigned acknowledges that a Contract will exsist upon acceptance of the Application by the Corporation.  The application will be assumed to be accepted by the Corporation unless otherwise notified within 5 business days.  

By Submitting this form you agree to the Rules and Regulations.

If you require this form in an alternate format, please call us at 519-745-4771 or email us at

All information submitted will be used by Kitchener-Wilmot Hydro Inc. in support of its obligations under the Electricity Act, 1998 and the Ontario Energy Board Act, 1998, applicable Ontario Energy Board Codes and Rules, associated policies, standards and procedures and its license. This information is being collected and used for billing and auditing purposes only. All submitted information will be assigned to the appropriate confidentiality level on receipt. This information will be retained by Kitchener­ Wilmot Hydro Inc. and may be subject to review by the Minister of Finance and/or the Ontario Energy Board pursuant to the Ontario Energy Board Act, 1998.

Before you submit, please take a moment to review and verify that all information provided on this form is correct.