For assistance, further information or, if you require this form in an
Application for Continued Service for Owners
Utilities Kingston offers owners an Auto Setup service where the account can be automatically setup in the Owner’s name, to
avoid any consequences of a service interruption, with the exception of disconnection for Non-payment.
Owners setting up through Auto Setup are not charged the standard application fee per service. All applications are subject to
Utilities Kingston’s Terms and Conditions of Service, which can be viewed at http://www.utilitieskingston.com.
Please complete this form and send to Utilities Kingston as follows:
By mail: Utilities Kingston, Attention: Customer Service Department, PO Box 790, Kingston, Ontario K7L 4X7
By fax: 613-536-5754
By email: info@utilitieskingston.com
PLEASE COMPLETE THE FIELDS, THEN PRINT AND SIGN
Are you the: Owner
Property Manager - please provide Owner information below
If you are the Property Manager, written authorization permitting you to represent the Owner is required
Full Name: Email Address:
Birth Date:
Driver’s Licence Number:
Mailing Address:
City/Town: Province:
Postal Code:
Phone Number: (Bus.)
(Res.)
Service Address Name of Contact Person/Owner/Property Manager
Signature:
Date:
alternate format, please call 613-546-0000 or
email info@utilitieskingston.com
For assistance, further information or, if you require this form in an
alternate format, please call 613-546-0000 or email
info@utilitieskingston.com
