Required fields are marked with asterisks (*)

Residential Utility Registration Form

A one time registration fee applies with the registration of your water, sewer and garbage. The fee will be applied to your first utility bill.

Connection Date (Date of Possession)

Address where water/sewer services are being requested?

Are you the owner or tenant of this property?

Owner

Tenant

Name of Primary Occupant

Mailing Address (for billing purposes)

City

Province

Postal Code

Home Phone

Work Phone

Cell Phone

Email Address

Fax

Name of Additional Occupant

Home Phone

Work Phone

Cell Phone

Email Address

Fax

Services

Number of bathrooms in the residence?

Garbage and Compost Bins

The City of Yellowknife has implemented a two-cart waste system for single family dwellings in residential areas. Your regular monthly garbage levy includes a black cart for garbage pick-up and a green one for compost. Pick up alternates each week between garbage and compost.

ESend

The City of Yellowknife is excited to promote green initiatives. We encourage all residents to take advantage of our ESend utility billing option. Using ESend means you will receive your utility bill as a PDF attachment by email. ESend is faster and more efficient than traditional paper billing.

All new accounts are charged a one time set up fee of $44.75. We have discounted this account set up fee to $31.75 for resdients that choose the ESend option.

I would like to take advantage of the ESend billing option;

Yes, please email my bill

No, I want to receive a paper bill

DECLARATION: The above information, to the best of my/our knowledge, is true. Should the information change, I/we shall notify the City of Yellowknife. It is understood and agreed that permission hereby applied for is subject to compliance with the By-Law

Agree

Office Use Only:

Work Order #
Reading Date
Reading #
Meter Readers Initials

Form Builder

Residential Utility Registration Form

Garbage and Compost Bins

ESend

Office Use Only: