Designated Consumers Forms | GrandBridge Energy

Home Customer Support Form Hub Bulk Metered Multi-Unit / Designated Consumers Form

Notice of Collection

Personal information is collected on this form by GrandBridge Energy under the authority of the Electricity Act, S.O. 1998, Chapter 15, Schedule A. The principal purpose of the information we collect is to accurately deliver our services to you, billing and collection, and ensure that we are dealing with only you or individuals you have authorized. Personal information will be used only for the purposes set out in our Privacy Policy.

If you have any questions about this collection, the ways in which your personal information may be used by GrandBridge Energy or would like further information about GrandBridge Energy’s privacy policies, please contact: GrandBridge Energy’s Chief Privacy Officer, 39 Glebe Street, Cambridge, ON by phone 1-877-871-2215, or by e-mail at: [email protected].

Bulk Metered Multi-Unit Residential Premises Declaration Form for Low Volume or Designated Customers

Bulk Metered Multi-Unit / Designated Consumers Form

The conservation threshold is the first 1000 kilowatt hours (winter months) or 600 kilowatt hours (summer months) consumed in any month by residential, low-volume and designated consumers. This conservation threshold will be priced at a lower rate and all consumption above this kWh threshold will be priced at a higher rate.

Pursuant to the Regulation filed under s.79.4 (1)(a) of the Ontario Energy Board Act, 1998, where the account of a low-volume consumer or designated consumer relates to:

* A property as defined in the Condominium Act, 1998.

* A residential complex as defined in the Tenant Protection Act, 1997 or

* A property that is owned or leased by a co-operative defined in the Co-operative Corporation Act

The conservation threshold for that consumer is determined based on the number of units within the property or complex. In order to determine the appropriate conservation threshold, consumers must provide a signed declaration attesting to the number of units to which an account relates.

If you are billed by GrandBridge Energy and if you qualify for a conservation threshold, (e.g. because there is more than one unit associated with your account), you must complete this form online or send it to our office by fax/mail as soon as possible. Your account will be adjusted upon receipt of this signed and completed Declaration Form. Any delay in processing, as a result of missing or inaccurate information on the form, may not result in adjustments to previous price plan billing years.

If you have multiple accounts eligible for a higher conservation threshold because there is more than one unit associated with your account, please list each account separately on its own form. Do not include units which are metered or billed separately from the account referenced.

You must advise us in writing if your account ceases to qualify for a higher conservation threshold or if there is a change in the number of units within the property or complex. If you are billed by a Retailer and make the decision to return to Standard Supply with GrandBridge Energy Inc., you must complete and return this Declaration Form to GrandBridge Energy Inc. to maintain your bulk metered multi-unit residential unit status.

GrandBridge Account Number(s)(Required)

GrandBridge Account Name(s)(Required)

Basis for Qualification(Required)

Number of Units within Complex(Required)

Address of Multi-Unit Property(Required)

Street Address Address Line 2 City Postal Code

Certification

The following individuals have the authority to provide and certify the accuracy of the information provided on this form and any additional attachments. Please fill out the applicable section.

Corporation Name(Required)

Name and Title of Authorized Officer(Required)

Email Address(Required)

Phone Number for Authorized Officer(Required)

Date

Signature of Authorized Officer(Required)

CAPTCHA