Move Out - Notification Form
Move Out - Notification Form
Please complete and return this Moving Out Notification Form (M1) by mail, or
Email to [email protected] or via fax (905) 612-0259.
Forwarding Address for Final Bill*: (Street Number, Street Name, Unit Number) City*: Postal Code*:
Landlord Agreement
Landlords: By singing this agreement you agree to be the interim account holder for the services to Rental property.
You understand that whenever a tenant calls to close their ND Energy account, you will automatically assume
responsibility for the utility account and continued services starting on the tenant’s termination date and until such
time as a new tenant establishes an account with ND Energy. No reconnection or new account charges will apply to
you under this option.
All information submitted through this process will only be used by ND Energy Inc. in support of our obligations
under the Utility Sub-Metering Agreement for each property. This information is being collected and used for billing,
collection, auditing and other necessary purposes, and will be assigned the appropriate confidentiality level on
receipt.
ND Energy Inc. | 6205A Airport Rd, Suite #301, Mississauga, ON L4V 1E1 | Tel. (905) 612-9879 | Fax. (905) 612-0259 | [email protected]
In accordance with the Personal Information Protection and Electronic Documents Act (PIPEDA), the Resident named
above acknowledges that providing personal information to ND Energy Inc. is considered consent to collection, use
and disclosure for the stated purposes, and may only be shared with ND Energy Inc. and authorized third party
providers of ND Energy Inc.
Tel.: Fax.:
Email:
AUTHORIZATION: I understand that my security deposit, if applicable, will be applied to my account on final billing. Should the final billing
amount be less than the amount of the security deposit, ND Energy Inc. will mail a cheque for the balance to the forwarding address providing
above.
Date:
(YYYY/MM/DD)
By Mail: Send completed form to ND Energy Inc., 6205A Airport Rd, Suite #301, Mississauga, ON L4V 1E1.
ND Energy Inc. | 6205A Airport Rd, Suite #301, Mississauga, ON L4V 1E1 | Tel. (905) 612-9879 | Fax. (905) 612-0259 | [email protected]