Niagara Peninsula Energy

Authorization to Disconnect/Remove Hydro Services

• Date:

• Service Address:

• Meter # (include all zeros):

• Hydro Account #:

• Owner Name:

• Owner Address:

• Email:

• Owner Telephone # (complete with extension):

As owner of the above mentioned property, I hereby authorize Niagara Peninsula Energy Inc. to disconnect and remove all hydro owned equipment service for demolition at the above mentioned property effective from:

• Effective Date:

• REASON:

Demolition

Other

EXPLAIN REASON:

I agree to hold Niagara Peninsula Energy Inc. harmless for any damages that may occur as a result of discontinuing the supply of electricity.

• Owner Name for Authorization:

• Date:

• Owner's Signature (sign by typing your name):

** Owner / Contractor is responsible for ensuring service has been disconnected prior to demolition. *

*PLEASE NOTE: ANY PROPERTY THAT HAS BEEN DISCONNECTED FOR A PERIOD OF SIX (6) MONTHS OR LONGER REQUIRES AN INSPECTION PERMIT TO BE RECONNECTED.