Download the agreement form - City of Vancouver 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Civic Address, including Apt, Street No., Street Name, and Postal Code. Ensure all details are accurate for proper identification.
3. Fill in your Utility Account Number and your Name(s) as Last Name, First Name or Company Name. This information is crucial for linking your application to the correct account.
4. Provide your Day Phone and Other Phone numbers. Indicate if you are the owner by selecting 'Yes' or 'No'.
5. Enter your Email Address and Mailing Address if it differs from your Civic Address. This ensures you receive all necessary communications.
6. In the authorization section, specify the effective date for automatic withdrawals and sign where indicated. If it's a joint account, ensure all depositors sign.
7. Attach a voided blank cheque to authorize withdrawals from your bank account and submit the completed form via mail or email as instructed.

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