Special Water Meter Read Request

To minimize delay, please fill out clearly and completely.
Please note : Allow up to 10 business days for processing.

Today's Date

Requested Read Date

Reason for Request

Address for the Special Meter Read Request

Address 2

City/Town

Province

Postal Code

Country

Requester Name

Company (If Applicable)

A confirmation email with a copy of the submitted values will be sent to the address provided above.

Phone

Relationship to Owner

Requested by Owner

Owner(s)

Important

The final bill will be emailed.

Charge	Cost
Service Fee	$130.00
GST	$6.50
Total Amount	$136.50

Pre-Authorized Withdrawal Services

Is the property owner enrolled in our Tax Prepayment Program or Metered Utilities Payment Plan? If so, please sign below to cancel their participation and stop future withdrawals.

Property Owner(s)

request to cancel my/our participation in the:

Tax Prepayment Program

Metered Utilities Payment Plan

Signature

Property Owner(s) or Representative

Date

I acknowledge that a $136.50 charge per meter will be added to the metered utility account upon submission of this special meter read request.

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Personal information entered on this form is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FOIPPA) for the purposes of processing your input. If you have any questions or concerns about how your information will be used, contact the FOI Office by calling 604-466-4300 or by emailing FOI@MapleRidge.ca. For more information about FOIPPA at the city, please visit our Freedom of Information page.