Senior Utility Rebate Application

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Online application form

The Senior Utility Rebate is available to Whitehorse citizens aged 65 or older, or to surviving spouses who meet the program’s criteria. The Utility Rebate provides a rebate to citizens for fees paid under the water, sewer and garbage services up to a maximum of $500 per year.

The 2019 Senior Utility Rebate application deadline is December 31. 

Please note this is an electronic process. 


Please correct the field(s) marked in red below:

Have you applied for this rebate in previous years?

If no, your first application will need to be made in person at City Hall and you will be asked to provide proof of age. 

Click here for the in person application

Part A: Utility Account Information

 

Utility Account Number

Look for a number in this format on your invoice: 31000XXXXX.00

Street Address (Utility Account) 
 *
Apt #
Postal Code
 *

Part B: Applicant Information

 

Last Name
 *
First Name
 *

Spouse’s Last Name

Spouse’s First Name

Date Moved In
 *
Date Moved Out (if applicable, Fill out Part C)
Daytime Telephone Number
Date of Birth - see eligibility conditions at the bottom of this form 
 *
Email Address

Part C: Mailing Address (if different than Utility Account Address)

You can also use this section if you have recently moved. 

Have you moved? If so, please provide your previous address here. 
 *
Have you moved? If so, please provide your previous address here.
Mailing Address - Street or PO
City 
Province or Territory 
Postal Code 
Country

Part D: Rebate Option (other than Utility Account Credit) 

 

Note: the default rebate option is to apply a credit to the utility account. 
 *
Note: the default rebate option is to apply a credit to the utility account.

Note: Direct Deposit 

Please submit this form separately if you have chosen this option in Part D - it will open in a new window: whitehorse.ca/eft

Prior year applicants - if you have already signed up for Direct Deposit, you do not need to do it again unless your account information has changed.

Part E: Renters 

 

Are you a renter? If so, you are paying Utilities as a component of rent. We will need your landlord's details for verification. 

 *
Are you a renter? If so, you are paying Utilities as a component of rent. We will need your landlord's details for verification.
Landlord's last name 
Landlord's first name 
Landlord's phone number 

Part F: Certification

 

I, the above named applicant for the Seniors Utility Charges Rebate pursuant to City of Whitehorse’s Bylaw 2009-38, declare all information on to be correct AND I meet all of the conditions for eligibility (outlined below).

Application Conditions

1. The Seniors Utility Charges Rebate is available to individuals who have attained the age of 65, or to the surviving spouse of a senior citizen under one of the following categories:

(a) Under the age of 60 - a surviving spouse who is under the age of sixty (60) years may be eligible for a rebate for the year in which the eligible spouse died, pro-rated to the date of death.

(b) Between the ages of 60 and 65 - a rebate may be paid to a surviving spouse provided he or she continues to occupy the same premises under which his or her spouse was eligible for the grant prior to the date of death.

2. Applicants attaining the eligible age may receive a rebate from the first day of the month following their eligibility. Applicants attaining the eligible age in the current year may receive a prorated rebate, calculated from the first day of the month following attaining eligibility.

3. The Senior Utility Charges Rebate will include charges paid to the City for water, sewer and garbage services to an amount equal to annual water, sewer and garbage service charges in a single family residential dwelling a maximum of five hundred dollars ($500.00) per year.

4. The Rebate is only payable:

(a) On premises occupied by the applicant; and

(b) Where the utility charges are paid by the applicant, whether directly or as a portion of rent.

5. First-time applicants shall provide proof of age. This must be government issued identification presented in person at City Hall. Those applicants can use the following printable application form and direct deposit form

6. First time applicants who live in rental property, and renters who have changed addresses in the application year, shall provide a letter stating that water, sewer and garbage charges have been paid to a third party as a component of their rental agreement.

The deadline for applications is December 31, 2019.

Payment of the monthly utility charges remains the responsibility of the applicant.

The protection of Your Personal Information is important to us. Our policy can be viewed on the City website (www.whitehorse.ca) or by contacting us. 

Please ensure you have completed this form accurately and in its entirety prior to submitting it. Thank you. 

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