Required fields are marked with asterisks (*)

Request and Authorization for Electronic Tax and/or Water Bills Form

Please fill out the form to receive your property tax and/or water bills online. Please note that once the City receives this form you will no longer be mailed your bills. Thank you.

I, the undersigned, request that the City of Elliot Lake provide me with an electronic tax bill/notice and/or an electronic water bill/notice.

First Name

Last Name

Phone Number

Tax Roll Number

Utility Number

Property Street Address

City

Postal Code

I authorize the City of Elliot Lake to issue electronic

Property tax bills/notices

Water bills/notices

I hereby attest to being the primary property owner or authorized agent for the primary property owner, and that I control the following email address:

Email Address

Print Name

Date

Information on this form is collected under the authority of the Municipal Act, 2001, and is used to maintain a record of individuals participating in the issuance of electronic bills/notices in the City of Elliot Lake.