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I* authorize EPCOR Utilities Inc. and the financial institution designated (or any other financial institution I may authorize at any time) to begin deductions as per my instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my EPCOR Utilities account(s). I hereby authorize EPCOR to debit my bank account as indicated on the attached "void" cheque included with my application or my savings account as indicated on the application form.

Regular monthly payments for the full amount of services delivered will be debited to my account on the due date of each EPCOR Utilities Inc. statement. EPCOR Utilities Inc. will provide 10 days written notice of the amount of each regular debit. EPCOR Utilities Inc. will obtain my authorization for any other one-time or sporadic debits.

I will notify EPCOR of any changes in the account information in writing at least five (5) business days prior to the next due date of the pre-authorized withdrawal.

This authority is to remain in effect until EPCOR Utilities Inc. has received written notification from me of its change or termination. This notification must be received at least five (5) business days before the next debit is scheduled at the address provided below. I may obtain a sample cancellation form, or more information on my right to cancel an Authorized Payment Withdrawal Agreement at my financial institution or by visiting

Mail changes or cancellation of APW to EPCOR at the address at right.

Cancellation of this authorization does not terminate my EPCOR service but only affects my method of payment. EPCOR may terminate this authorization at any time verbally or by written notice to me at the address shown on my application form. I acknowledge that EPCOR may charge my utility account with a service charge for each dishonored payment as it occurs, and that it may also result in termination of my participation in the Authorized Payment Withdrawal Agreement.

I have certain recourse rights if any debit does not comply with this agreement. For example, I have the right to receive reimbursement for any debit that is not authorized or is not consistent with this Authorized Payment Withdrawal Agreement. To obtain a form for a Reimbursement Claim, or for more information on my recourse rights, I may contact our financial institution or visit

I acknowledge that provision and delivery of this authorization to EPCOR constitutes delivery by me to my financial institution. An Authorized Payment Withdrawal adjustment will be made only under the following conditions:

  1. Authorization was not provided to EPCOR.
  2. Payment withdrawal was not processed in accordance with my authorization agreement.
  3. Authorization has been cancelled/revoked and I have chosen another method of payment.
  4. Any payment withdrawal dispute must be made within 90 days of the disputed debit being posted to my account.

I understand I will continue to make payments on my account in my usual manner until the Authorized Payment Withdrawal message appears on my bill.

I consent to EPCOR collecting, using and disclosing this information for the purpose of establishing automatic payment withdrawals, which will be applied against my EPCOR account.

*Wherever I/my/me is used it is inferred we/our/us if there is more than one signature.