<form-template> <fields> <field type="paragraph" subtype="p" label="Sign up to get your property tax notices or utility bills by email! It's simple - just provide some account details, the address of your property and an email address for delivery and we'll take care of the rest." class="paragraph"></field> <field type="paragraph" subtype="p" label="Questions about this form can be sent to Utilities at 403-845-2866 or utiltites@trmh.ca." class="paragraph"></field> <field type="text" subtype="text" required="true" label="Property Owner Name" class="form-control text-input" name="text-1775766367180"></field> <field type="text" subtype="text" label="Customer ID (If applicable)" class="form-control text-input" name="text-1775855766976"></field> <field type="radio-group" required="true" label="Paperless Services (Choose one)" class="radio-group" name="radio-group-1775856493339"> <option value="Both Property Tax Notices and Utility Bills" selected="true">Both Property Tax Notices and Utility Bills</option> <option value="Property Tax Notices Only">Property Tax Notices Only</option> <option value="Utility Bills Only">Utility Bills Only</option> </field> <field type="text" subtype="text" required="true" label="Property Address" class="form-control text-input" name="text-1775766787173"></field> <field type="text" subtype="text" label="Utility Account No. (If applicable)" class="form-control text-input" name="text-1775766844216"></field> <field type="text" subtype="text" label="Property Tax Roll No. (If applicable)" class="form-control text-input" name="text-1775766860650"></field> <field type="text" subtype="text" required="true" label="Email Address" class="form-control text-input" name="text-1775766879721"></field> <field type="header" subtype="h1" label="Terms &amp; Conditions (Please read and check all)" class="header"></field> <field type="checkbox-group" required="true" label="Terms &amp; Conditions (Please read and check all)" class="checkbox-group" name="checkbox-group-1775855821335"> <option value="I consent that the notices, bills, invoices and communications for my above accounts will be provided by email, to the email address listed above, and I will no longer receive a paper copy." selected="true">I consent that the notices, bills, invoices and communications for my above accounts will be provided by email, to the email address listed above, and I will no longer receive a paper copy.</option> <option value="I understand that it is my responsibility to provide the correct email address and to inform the Town of Rocky Mountain House in writing of any changes to this email address.">I understand that it is my responsibility to provide the correct email address and to inform the Town of Rocky Mountain House in writing of any changes to this email address.</option> <option value="I understand that non-receipt of my notices, bills or invoices is not justification for late payment and penalties will not be waived as a result.">I understand that non-receipt of my notices, bills or invoices is not justification for late payment and penalties will not be waived as a result.</option> </field> <field type="header" subtype="h1" label="Important for Electronic Property Tax Notices" class="header"></field> <field type="paragraph" subtype="p" label="Each person on title will have to submit their email address separately. " class="paragraph"></field> <field type="header" subtype="h1" label="Privacy Statement" class="header"></field> <field type="paragraph" subtype="p" label="Personal information that is collected as part of this form will be used to facilitate the electronic delivery of Town of Rocky Mountain House utility bills and property tax notices. Collection is authorized under section 4(c) of the Protection of Privacy Act (POPA) and is managed and protected in accordance with the Act. Questions about the collection may be directed to the Access to Information and Protection of Privacy Officer at Legislative@trmh.ca or by phone at 403-845-2866." class="paragraph"></field> </fields> </form-template> Submit Submitting...
