Fillable Request For Information Form

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Request For Information Form

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The Request For Information Form form is 3 pages long and contains:

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  • 35 other fields

Country of origin: CANADA
File type: PDF

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Account Access for Information Form
1 | Page
Who needs to access your account? Currently, only the name on account, and
any contacts provided in writing have access to information regarding your
account. If written authorization is not provided, individuals who are not a name
or contact on account will not be able to access any account information. This
includes balance, payment, bill, usage, readings or outage information. If you
would like to authorize a third party on your account please provide contact
information.
Please complete one contact definition per form.
Contact name: _______________________________________________
Affiliation: __________________________________________________
Phone: _____________________________________________________
Email: ______________________________________________________
Type of Access (appears for each contact):
Full access to Account Information: Access to update name, mailing,
request move, payment information, access to balance and usage
information, access to bills, conservation programs, outage reporting
o Start Date:___________________(MM/DD/YYYY)
o End Date:____________________(MM/DD/YYYY)
Payment Information: Access to balance and payment information, this
includes right to make payment arrangements
o Start Date:___________________(MM/DD/YYYY)
o End Date:____________________(MM/DD/YYYY)
Account Access for Information Form
2 | Page
Usage information: Access to reading and usage information
o Start Date:___________________(MM/DD/YYYY)
o End Date:____________________(MM/DD/YYYY)
Access to Utilismart: access to web portal to view interval meter data.
o Start Date:___________________(MM/DD/YYYY)
o End Date:____________________(MM/DD/YYYY)
Bill information: Access to view and receive bills.
o Start Date:___________________(MM/DD/YYYY)
o End Date:____________________(MM/DD/YYYY)
Conservation Program Information: Access to inquire and apply for
Conservation programs
o Start Date:___________________(MM/DD/YYYY)
o End Date:____________________(MM/DD/YYYY)
o Account Type:
o Residential
o General Service < 50 kW
o General Service > 50 kW
Outage Contact: Individual to contact when there is a scheduled outage
o Please provide preferred method of communication for scheduled
outages:
Home Phone : ________________________
Mobile Phone: ________________________
Email: ______________________________
SMS/Text: ___________________________
Delivery of letter
Account Access for Information Form
3 | Page
Authorization
Account Number: ___________________________________________________________________
Name of Authorized Person (individual must be a name on the account): _______________________
Title of Authorized Person: ____________________________________________________________
Signature of Authorized person named on account:_________________________________________
Please provide additional account numbers on which the authorized person/name on account has
access that these contacts apply.
Does access apply to all accounts with authorized person name on the account? Yes _____ No ______
Completed forms can be mailed or emailed to Customer Service. Mail or Drop Off at:
Niagara Peninsula Energy Inc.
Customer Service Department
7447 Pin Oak Drive
P.O. Box 120
Niagara Falls, Ontario
L2E 6S9
Email: info@npei.ca
Please include Request for Information in subject or reference line.
For inquiries regarding your request, please contact customer service:
Toll Free: 1-877-270-3938.
T: 905-356-2681 F: 905-356-0118 E: info@npei.ca Web: www.npei.ca
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Request For Information Form

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Completed 19 July 2020

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