2. 

3. New Resident 

   / Move-In 
   Notification

5. Resident Information

9. Name*
10. Name of Joint Owner / Tenant (if applicable)
12. New Residential (Physical / Civic) Address*
14. Primary Phone Number*
15. Alternate Phone Number
17. New Mailing Address

    Please visit the local Canada Post office to obtain a postal box for your mailing address.

18. Town*
19. Postal Code*
21. Email address*

25. Property Information

27. Move-In / Possession Date*
    Move-In / Possession Date
29. Do you rent or own your new home?*

    1. Own
    2. Rent
30. Name of registered property owner*
32. Would you like to receive a COPY of your Utility Bill?

    The purpose of sending the COPY of the Utility Bill is to serve notification to the tenant(s) of the cost of utilities services.  The tenant(s) will receive a copy of the utility bill and the property owner(s) will continue to receive the original.  

    The property owner(s) are solely responsible for any amount owing, including any fees that are applied as penalties above the regular utility billing.  Payment of the utility bill is to be decided between landlord and tenant as part of the terms of the rent / lease agreement.

    Any amounts outstanding in the Utility account as of December 15 of any calendar year will be transferred to the property owner's tax account in accordance with the Municipal Government Act.  Tax amounts owing at December 31 are subject to a 12% penalty in accordance with the Imposition of Tax Penalties Bylaw.

    In order to begin to receive a copy of the Utility Bill, your landlord / the property owner must submit this authorization form. Please forward your landlord this link if you would like to be added onto the account as a tenant. Renters cannot be added to the account without the landlord / owner's permission.

    1. Yes
    2. No
34. Contact phone number of property owner*
35. Contact email address of property owner
37. Are you moving from another residence in Diamond Valley?*

    1. Yes
    2. No
38. What address are you moving from?*

40. Related Information

42. Tax Installment Payment Plan (TIPP) Program*

    Are you interested in paying your property tax by installments (TIPP Program)?

    1. Yes
    2. No
44. TIPP PROGRAM: TERMS AND CONDITIONS*

    Tax Installment Payment Plan (TIPP):  Terms & Conditions

    1. You authorize the Town and its financial institution(s) to continually debit the stated bank account on the 4th day of each month to make payments on your property tax account. 

    2. You acknowledge that when current year taxes are unknown, the debited instalments will be estimated on the prior year's taxes until current year tax information is available for recalculation. 

    3. Your tax account must be at a NIL balance at year end for you to automatically participate in the TIPP program in the following year. Any credit balance on the tax account remaining at the end of the calendar year will be applied to the following year's payments. 

    4. This plan will remain in effect until cancelled. You are responsible to advise the Town, in writing (email acceptable), at least 15 days in advance, of any changes required to the next automatic payment (e.g. payor information, bank account changes, cancellation of the plan, etc.). If there is a change in ownership of the property, you are responsible to notify the Town in writing to cancel the program.

    5. Any payments that are dishonoured by your bank will incur a $25 NSF fee, which must be paid prior to resuming your participation in the program. 

    6. The Town has the right to cancel your participation in the program, per the TIPP Bylaw, if your account is no longer in good standing. 

    7. Monthly payment instalments will be recalculated periodically. You will be notified of calculations that result in changed payments. 

    8. Any correspondence sent by the Town will be directed to the registered owner(s) of the property only. 

    9. By submitting this application to the Town, you are agreeing to be bound by the TIPP Bylaw and the Terms & Conditions of this agreement. 

    10. You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this agreement. To obtain more information on your recourse rights, contact your financial institution or visit http://www.cdnpay.ca

    1. I understand and agree to the TIPP Terms and Conditions
46. Name(s) on the Bank Account

    Include ALL names registered on the bank account

48. Financial Institution Name
49. Financial Institution Address
51. Institution / Bank #

    3 Digits

52. Branch/Transit #

    5 Digits

53. Account #

    Up to 12 Digits

55. Photo or Scan of Void Cheque

    Please attach a photo or scan of the VOID cheque or bank-issued pre-authorization document.

59. Utilities Pre-Authorized Payment Plan (UPP) Program*

    Are you Interested in registering for the Utilities Pre-Authorized Payment Plan?

    1. Yes
    2. No
61. Utilities Payment Pre-authorization (UPP): Terms & Conditions*

    1. I acknowledge that the Authorization is provided for the benefit of the Town of Diamond Valley and the Processing Institution and is provided in consideration of the Processing Institution agreeing to process debits against my account, as listed above, (the “Account”) in accordance with the Rules of the Canadian Payments Association.

    2. I warrant and guarantee that all persons whose signatures are required to authorize withdrawals from the Account have digitally signed the Authorization below.

    3. I hereby authorize the Town of Diamond Valley to issue pre-authorized debits (as defined in Rule H1 of the Rules of the Canadian Payments Association) (the “pre-authorized debit”) drawn on the Account, for the following purpose: Payment of Utility Account.

    4. I may cancel the Authorization at any time upon providing written notice to the Town of Diamond Valley 10 days prior to the due date.

    5. I acknowledge that provision and delivery of the Authorization to the Town of Diamond Valley constitutes delivery by me to the Processing Institution. Any delivery of the Authorization to the Town of Diamond Valley, regardless of the method of delivery, constitutes delivery by me.

    6. The Town of Diamond Valley will provide to me at the mailing address provided above:

    a. With respect to fixed amount pre-authorized debits, written notice of the amount to be debited (the “payment amount”) and the dates(s) on which the payment amount debited will be posted to my Account (the “payment date”), at least 10 (ten) calendar days before the payment date of the first pre-authorized debit, and such notice shall be provided every time there is a change in the payment amount or the payment date(s).

    b. With respect to variable amount pre-authorized debits, written notice of the payment amount and the payment date(s), at least 10 (ten) calendar days before the payment date of every pre-authorized debit.

    c. With respect to a pre-authorized debit plan that provides for the issuance of a pre-authorized debit in response to a direct action of mine (such as, but not limited to, telephone instruction) requesting the Town of Diamond Valley to issue a pre-authorized debit in full or partial payment of a billing received by me for a payment obligation that meets the requirements of Section 2 of Rule H1, no notice is required.

    7. I acknowledge that the Processing Institution is not required to verify that a pre-authorized debit has been issued in accordance with the particulars of the Authorization including, but not limited to, the amount, or that any purpose of payment for which the pre-authorized debit was issued has been fulfilled by the payee as a condition to honoring a pre-authorized debit issued or caused to be issued by the Town of Diamond Valley on the Account.

    8. Revocation of the Authorization does not terminate any contract for goods or services that exists between me and the Town of Diamond Valley. The Authorization applies only to the method of payment and does not otherwise have any bearing on the contract for goods of services exchanged.

    9. An NSF fee of $25.00, as provided for by the Town of Diamond Valley policy, shall be charged for any installment that fails to be honored by the processing institution.

    10. I may dispute a pre-authorized debit only under the following conditions:

    a. The pre-authorized debit was not drawn in accordance with the Authorization.

    b. The Authorization was revoked.

    c. Pre-notification, as required under Section 6, was not received.

    11. I have attached a photo or scan of a specimen cheque marked “VOID” to this Payor Authorization (the “Authorization”). 

    12. I will inform the Town of Diamond Valley, in writing, of any change in the information provided in this Authorization ten (10) days prior to the next due date of the pre-authorized debit. 

    13. I agree that the information contained in the Authorization may be disclosed to Alberta Treasury Branches as required to complete any pre-authorized debit transaction. 

    14. I understand and accept the terms of participating in this pre-authorized debit plan and agree to be bound by its terms.

    1. I hereby confirm that the information contained in this form is true and correct to the best of my knowledge, and agree to the UPP Terms and Conditions
63. Bank Account Information

    Is your banking information for UPP withdrawals the same as for TIPP?

    1. Yes
    2. No
65. Name(s) on the Bank Account
67. Financial Institution Name
68. Financial Institution Address
70. Institution / Bank #

    3 Digits

71. Branch / Transit #

    5 Digits

72. Account #

    Up to 12 Digits

74. Photo or Scan of Void Cheque

    Please attach a photo or scan of the VOID cheque or bank-issued pre-authorization document.

78. eServices*

    Go paperless by registering to receive your tax, assessments and/or utility bills and correspondence by email.

    Are you interested in registering for eServices?

    1. Yes
    2. No
80. Email address where electronic documents will be sent*

    About  eServices

    The Town of Diamond Valley is able to send out Utility Bills and Tax and Assessment documents via email through our eServices program in accordance with the Town of Diamond Valley eServices Bylaw 2023-17 (or as amended or replaced).

    By using this service, you can reduce paper mail and view your notices and bills easily from your computer or mobile device. Choosing to sign up for eServices will not affect the way you pay your taxes or utility bills. 

    All utility billings will be electronically delivered to the email address you provide to us. If the electronic documents are not deliverable, you will be removed from the program and a paper copy will be mailed to you. PLEASE NOTE: If you change your email address, you are responsible to contact the Tax and Utility Department with your new information. Non-receipt of your electronic documents is not justification for late payment, and penalties will apply to all late payments as applicable.

    By joining the eServices program, be advised that a paper copy of the bill or notice will not be automatically mailed, but paper copies may be provided if requested. To request a paper copy of your bill or notice or if you decide to opt out of the eService program and return to paper billing, simply email your request to info@DiamondValley.town or call the Town Office at 403-933-4348.

    If the Account Holder has more than one property, each property must be agreed to separately.

82. I consent to receive the following communications via email instead of paper mail:*

    
    

    Utility Account

    Including :

    • Utility Bills
    • Utility Account Correspondence

    1. Yes
    2. No
84. Tax Assessment

    Including :

    • Property Assessment Notice
    • Assessment Correspondence

    1. Yes
    2. No
86. Property Tax Account

    Including :

    • Property Tax Notice
    • Tax Account Correspondence
    • Arrears / Recovery Correspondence
    • Tax Installment Payment Program (TIPP) Correspondence
    • School Support Notification

    1. Yes
    2. No
88. Authorization Agreement

    I authorize the Town of Diamond Valley to direct the above indicated documents to me by email at the email address provided above. I understand that in accordance with the Municipal Government Act, a document sent in electronic format is presumed to have been received seven (7) days after it was sent unless there is evidence to the contrary.

92. eGov

    The Town now offers a service where residents can access their tax and utilities account information online, as well as obtain info on assessment values, animal licences and accounts payable.  

    If you are interested in registering for this service, please indicate so below, and we will send you a message once your account is set up with further instructions on how to log in.

    Are you interested in registering for eGov?

    1. Yes
    2. No
94. LEARN MORE ABOUT eGOV
    Read more about eGov here
98. School Support Notification
    Learn more and / or fill out the School Support Notification form here

    Property owners are asked to declare their preference regarding the allocation of the education requisition portion of municipal taxes to either the public or Catholic school systems. We request each registered property owner to submit a separate digital form expressing their choice, to ensure we have their accurate declaration and signature on file. If the form is not returned, the default allocation will be directed to the public school system.

    
    

102. Animal Licensing
104. Do you own any dogs?*

     A dog licence is required for all dogs over six (6) months of age.  The maximum number of dogs allowed per household is four (4).  

     1. Yes
     2. No
106. Dog Owner Name
108. Do your dog(s) have a Co-Owner?

     1. Yes
     2. No
110. Co-Owner Name
111. Co-Owner or Alternate Phone
113. Co-Owner Email

     By providing your email address, you may receive account correspondence and renewal reminders to this email address.

115. How many dogs are you registering?

     1. 1
     2. 2
     3. 3
     4. 4
116. Do you have any other dogs already registered in the Town of Diamond Valley?

     1. Yes
     2. No
118. If you have other dogs, what are their names?
122. Dog 1 Name
123. Dog 1 Gender

     1. Male
     2. Female
124. Dog 1 Year Born
126. Dog 1 Breed
127. Dog 1 Colour
128. Dog 1 Markings
130. Dog 1 Spayed / Neutered (Fixed)

     1. Yes
     2. No
     3. Not yet, but will be this year (puppy)
131. Dog 1 Microchip / Tattoo
135. Dog 2 Name
136. Dog 2 Gender

     1. Male
     2. Female
137. Dog 2 Year Born
139. Dog 2 Breed
140. Dog 2 Colour
141. Dog 2 Markings
143. Dog 2 Spayed / Neutered (Fixed)

     1. Yes
     2. No
     3. Not yet, but will be this year (puppy)
144. Dog 2 Microchip / Tattoo
148. Dog 3 Name
149. Dog 3 Gender

     1. Male
     2. Female
150. Dog 3 Year Born
152. Dog 3 Breed
153. Dog 3 Colour
154. Dog 3 Markings
156. Dog 3 Spayed / Neutered (Fixed)

     1. Yes
     2. No
     3. Not yet, but will be this year (puppy)
157. Dog 3 Microchip / Tattoo
161. Dog 4 Name
162. Dog 4 Gender

     1. Yes
     2. No
163. Dog 4 Year Born
165. Dog 4 Breed
166. Dog 4 Colour
167. Dog 4 Markings
169. Dog 4 Spayed / Neutered (Fixed)

     1. Yes
     2. No
     3. Not yet, but will be this year (puppy)
170. Dog 4 Microchip / Tattoo
174. Starting a Business
176. Do you have a business operating in Town?

     1. Yes
     2. No
177. Business name
179. Business address (physical)
180. Business phone number
182. Do you have a Business Licence?

     1. Yes
     2. No
183. Business Licence number
185. Learn more about starting a business and / or apply for a licence and permits here.
189. Notifications
191. Would you like to subscribe to receive notifications from the Town?

     Choose which notifications you would like to receive including: Town calendar events, News Flash items, employment and volunteer opportunities, bid postings,  and Alert Centre notifications.

     1. Yes
     2. No
193. Sign up to receive Notifications here

197. Agreement

201. Authorization Agreement

     I confirm that the information contained in this form is true and correct to the best of my knowledge. 

203. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree
205. Electronic Signature*
206. Date Signed
     Date Signed
208. Protection of Privacy Act

     The personal information collected through the New Resident/Move-In Notification form is for the purpose to ensure a smooth transition for new residents moving into or around Diamond Valley. This collection is authorized under section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, contact the Privacy Office LegislativeServices@DiamondValley.town or 403-933-4348

Leave This Blank:


217. 1. Receive an email copy of this form.
218. Email address

     This field is not part of the form submission.

219. Submit

* indicates a required field