Move Out Request Form

Utility service customers can fill in the form below to stop their water and waste collection services when they move out of their home within the city of Spruce Grove.

Please note: Utility account numbers do not transfer from one address to another. A new utility account number will be provided to you on your first utility bill at the new location. Please be sure to update this information with your bank if you pay for your utilities through online or telephone banking.

Service Information

Move out date *

Service address *

Have you sold your property? *

Yes
No

Customer Contact Information

First or given name(s) *

Last name *

Account number

Phone number *

Alternate phone number (ie. cell phone)

Address to forward final bill to

Street address *

City *

Province *

Postal code *

Email address

Notes

Agreement

I hereby make application to the City of Spruce Grove to close my utility account for water and waste collection services. *

I understand that my utility account no. will change if moving within Spruce Grove. *

I am the utility services account holder of this property and I agree to these terms. *

Your personal information is being collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act, RSA, 2000 and will be used for the provision of utility services and the collection of utility charges. It will be treated in accordance with the privacy protection provisions of Part 2 of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of your personal information, contact the FOIP Coordinator at 315 Jespersen Avenue, Spruce Grove, Alberta, T7X 3E8, 780-962-2611.