Page 1 of 5
Utility Name:
Rate Filing Prepared for Submission
to The Island Regulatory & Appeals Commission
Contact Name:
Utility Address:
Telephone:
Email:
Date:
In accordance with Sections 9 and 15 of the
Water and Sewerage Act
, following is the Utility’s
application for a rate review.
1. Background information about the Utility (year established, description of system,
current number of customers), and the overall reason(s) for the request for a rate
change.
2. Proposed capital projects or anticipated significant expenditures in the next 2-5
years.
Type of Project/Expenditure Utility’s Expected Cost Year
1.
2.
3.
4.
Clear Form
Page 2 of 5
3. PROJECTED depreciation expenses for future expenditures.
Description Utility’s NET Cost Proj Depr Exp Year
1.
2.
3.
4.
4. PROJECTED interest expenses on long-term debt for future projects/purchases.
Description
Loan
Amount
Interest
Rate
Proj Yrly
Int Payment Year
1.
2.
3.
4.
5. a. Statement of actual revenue and expenditures and forecasted data – WITHOUT
RATE RELIEF. (Any projected deprecation and/or interest expenses indicated in 3
& 4 above are included.) To complete Statement of Revenues and Expenses
(without rate change) For Click Here For WATER OR H
ere For SEWER.
b. Statement of actual revenue and exp
enditures and forecasted data – WITH RATE
RELIEF AS PROPOSED BY THE UTILITY. (Any projected deprecation and/or interest
expenses indicated in 3 & 4 above are included.) To complete Statement of
Revenues and Expenses (with rate changed) CLICK HERE for WATER or HERE for SEWER.
6. Revenue and expenditure accounts that have increased or decreased by substantial
amounts.
Account #
Account Name
Explanation for Change
Page 3 of 5
#6. Continued
Account #
Account Name
Explanation for Change
Account #
Account Name
Explanation for Change
Account #
Account Name
Explanation for Change
7. Utility customer information.
Customer Category # of Customers # of Units Billed
8. Projected number of new customers over the next 2-3 years.
PROJECTED:
Year Customer Category # of Customers # of Units Billed
Page 4 of 5
9. Proposed amortization period to recover any accumulated deficit.
Deficit Amount ($)
# of Yrs
Recovery
Yrly
Payment Int Rate
Yrly
Int Pmt
Start
Year
Note: The proposed yearly repayment amount(s), including yearly interest, should be included
in the projected expenditures in the statement of revenue and expenditures prepared
under #5 above.
10. Utility’s current rate, proposed rate and proposed effective date.
Current Annual Rate (per Single-Family Dwelling):
Proposed Annual Rate (per Single-Family Dwelling):
Proposed Effective Date:
Utility’s Billing Cycle:
11. Information on any prior communication by the Utility to its ratepayers on the
proposed rate changes.
12. Other information relevant to the rate filing.
Page 5 of 5
In addition, the following items are attached to, and form part of, this submission:
13.
A copy of the Utility Board’s minute(s) giving authorization to prepare the
rate application;
14.
A copy of the Bylaw creating the Utility, pursuant to Section 38.1 of the
Municipalities Act
; and
15.
A copy of the Utility’s most recent audited financial statements.