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Service Reconnection Waiver Form

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Service Reconnection Waiver Form

  • Instructions

    By submitting this form, you are authorizing Welland Hydro-Electric System Corp. to reconnect power without anyone present at the service address specified below.

    Once you have completed all required fields, the form can be submitted by selecting the "Submit My Service Reconnection Waiver Form" button at the bottom of this page.
  • Welland Hydro-Electric System Corp. Account number

  • Authorization

    I have understand the potential risks involved with reconnecting the electrical service at the address listed above without anyone being present. I accept all liability and hold Welland Hydro-Electric System Corp. harmless for any damages and/or losses that may occur as a result of reconnecting the electrical service without having anyone present.
  • YYYY dash MM dash DD
  • Type your name in place of a signature. If you are not the account holder, you must be authorized by the account holder to give this form on their behalf

  • Collection of Personal Information

    NOTICE OF COLLECTION: Your personal information is collected on this form by Welland Hydro-Electric System Corp. (“Welland Hydro”) under the authority of the Electricity Act, S.O. 1998, Chapter 15, Schedule A. Welland Hydro will only use personal information for the purpose for which it was collected unless consent is given by the individual to use or disclose it for another purpose. Under certain exceptional circumstances, Welland Hydro may have a legal duty or right to disclose personal information without the individual's knowledge or consent. If you have further questions about this collection, or the ways in which your personal information may be used by Welland Hydro, please contact the Privacy Officer by telephone at 905-732-1381, ext. 233, or by email at privacy@wellandhydro.com.

  • Submit My Service Reconnection Waiver Form

    By selecting the "Submit My Service Reconnection Waiver Form" button below, the request will be sent for processing. Welland Hydro will reconnect the service at the address specified in your submission at our earliest convenience during our regular business hours..