Move In / Within Territory Residential Account InformationAccount Set Up Charge/Change of Occupancy Charge*If you're setting up a new account or transferring an account to a new address, an Account Set Up Charge/Change of Occupancy Charge of $30.00 + HST will be applied to the first bill. This Charge is approved by our regulator, the Ontario Energy Board, and covers the cost of opening/transferring a new account, obtaining the meter reading and amending records. I agree For more information on Customer Administration charges, visit the Ontario Energy Board website at www.oeb.caName of Primary Applicant* Service Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Is your mailing address the same as your service address?*SelectYesNoDo you have a Post Office Box number?*SelectYesNoPlease provide your Post Office Box number*If you have not received your PO Box #, please contact our office as soon as it becomes available. Mailing Address (if different from Service Address) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Date Service Commences* MM slash DD slash YYYY Do you currently have a Westario Power account?*SelectYesNoCurrent Account Number(s)* Do you require a final meter read for this account(s)?*SelectYesNoPlease enter the date required for final meter read*Note: Your Final Invoice will be sent to your new mailing address. If previously registered for electronic billing, you will receive an email notification. MM slash DD slash YYYY Ownership StatusWill you be renting or owning the Service Address*SelectRentingOwningLandlord's Name* First Last Lawyer's Name* Phone*Primary Applicant - Personal InformationName* First Last Date of Birth* MM slash DD slash YYYY Phone*Secondary PhoneEmail* Driver's License/Other Unique Identifer*Other unique identifier may include another type of government issued identification (Note: do not provide Social Insurance Number (SIN) or Health Card #) SelectDriver's LicenseOther Unique IdentifierDriver's License #* Name alternate source of identification* Identification #* Security Question #1 - Mother's Maiden Name* Security Question #2 - Best Friends Name* Employer's Name* Phone*Is there a secondary applicant for this account?SelectYesNoSecondary Applicant - Personal InformationName First Last Date of Birth MM slash DD slash YYYY PhoneSecondary PhoneEmail Driver's License/Other Unique IdentiferOther unique identifier may include another type of government issued identification (Note: do not provide Social Insurance Number (SIN) or Health Card #)SelectDriver's LicenseOther Unique IdentifierDriver's License #* Name alternate source of identification* Identification #* Security Question #1 - Mother's Maiden Name Security Question #2 - Best Friends Name Employer's Name PhonePre-Authorized PaymentSign up for pre-authorized automatic payment and your monthly payment will automatically be withdrawn from your bank account on the due date of your most recent bill. Save time, postage costs and cheque processing fees, plus enjoy peace of mind knowing that your payment will always be made on time.Register for Pre-Authorized Payment*YesNoName of Financial Institution* Transit Number (5 digits)* Institution Number (3 digits)* Account Number* Equal Payment PlanOur equal payment plan allows you to spread your annual electricity costs evenly through the year for easier budgeting and a more predictable monthly bill. We will review your plan, at least, once per calendar year to reconcile the balance. Please monitor your account for balances, whether over or under paying, and contact us with any questions.Register for Equal Payment Plan*YesNoElectronic BillingRegister for our e-billing service today and gain access to our secure, paper-free service that stores your bills online and gives you the convenience of viewing your account 24 hours a day, 7 days a week. Make bill paying easy. NOTE: bills will appear in your portal on a go-forward basisRegister for E-Billing*Should you select "Yes", you will receive a notification to complete your e-billing registration once your service application has been approved. This requirement must be completed within 24 hours to validate your e-billing accountYesNoSecurity DepositResidential customers opening a new account with Westario Power are required to pay a security deposit, except where the customer provides a residential credit reference letter from an electricity or natural gas utility in Canada confirming “Good Payment History”; or enroll in Pre-Authorized Payments and/or an Equal Payment Plan. Residential customers shall be permitted to pay deposits in equal instalments up to a six-month period. (Please submit your Credit Reference Letter with this application, if available, to customer.service@westario.thedev.ca)Security Deposit Payment*Please select the number of months to make equal payments of the required security deposit.Select123456None - I will submit a Letter of Reference, Pre-Authorized Payment or Equalized Payment PlanPlease review my current account(s) for credit standingRPP Rate Option Selection*Residential customers have the choice bewtween Time-of-Use (TOU), Tiered, or Ultra-Low Overnight (ULO) pricing - default selection is the TOU pricing structure. For more information regarding the election of RPP pricing, please visit the 'Rates and Charges' section of our website or visit www.oeb.ca Time-of-Use (TOU) Tiered Ultra-Low Overnight (ULO) Additional CommentsAgreement*I have read and understood Westario Power's Conditions of Service in its entirety. By selecting "I accept" following this statement, you: (1) certify that the given information is true, correct and complete to the best of my knowledge; (2) Irrevocably accept to enter into a valid and legally binding agreement with Westario Power in accordance with the terms of Westario Power's Conditions of Service; and (3) By providing Westario Power Inc. with personal information as set out in this document, I hereby consent to the collection, retention and use of this information by Westario Power Inc., in accordance with its privacy policy, which is available upon request or at www.westario.thedev.ca/privacy-policy/ (NOTE: Submission of fraudulent information will result in electrical service being disconnected) I Accept