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Gas and Water Service Disconnect Request Form

 

Kitchener Utilities reserves the right to deny this request if property is not vacant upon arrival. Kitchener Utilities will not sign off on the Building Division’s Demolition Tracking Sheet until both water and gas services have been disconnected.

Gas

Gas abandonment fees will apply. Please see the City of Kitchener's 2022 fee schedule and reference page 39.  

Water

Please see the City of Kitchener's 2022 fee schedule

Property Owner Details

Contractor Details

Date range for gas/water to be shut off: (Provide a 10 day window)

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Allowed extensions pdf, doc, jpg, jpeg,

 

If demolishing your building, this form must be accompanied by a Demolition Tracking Sheet for authority sign off. This form must be completed in full, including both the applicant’s name and service address, and submitted with the application with a minimum of 30 days prior to disconnect.

Personal information is being collected under the authority of s. 28(2) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used to collect information for water/gas disconection services. This information will be shared with staff who require it for their work as part of Kitchener Utilities and will be stored on a server owned by a Third Party Service Provider (eSolutions Group) located in Canada. The personal information collected herein will be used only for the purposes relating to the program and will be protected in accordance with the requirements stipulated in the MFIPPA. 

Inquiries about the collection, use or disclosure of your personal information should be directed to Kitchener Utilities, 131 Goodrich Drive, Kitchener, Ontario, N2C 2E8, (519) 741-2600.



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