PRE-AUTHORIZED PAYMENT PLAN WHITbY HYDRO-ELEcTRIc cORPORATION Please complete the Pre-Authorized Debit (PAD) Plan Agreement below I/we authorize WHEC., and the financial institution designated (or any other financial institution I/We may authorize at any time) to begin deductions as per my/our instructions for regular payments, for charges arising under my/our WHEC Utility account(s). Regular payments for services delivered will be debited to my/our specified account on the due date of the statement. WHEC will provide 10 days written notice of the amount of each regular debit. WHEC will obtain my/our authorization for any other one-time sporadic debits. This authority is to remain in effect until WHEC has received written notification from me/us of its change or termination. This notification must be received at least ten (10) business days before the next debit is scheduled at the address provided below. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement at my/our financial institution or by visiting www.cdnpay.ca. WHEC may not assign this authorization, whether directly or indirectly, by operation of law, change of control or otherwise, without providing at least 10 days written notice to me/us. I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain a form for a Reimbursement Claim, or for more information or my/our recourse rights, I/we may contact my/our financial institution or visit www.cdnpay.ca. * Last Name: * First Name: * WHEC Account Number: * Service Address: * City/Town: * Province: * Postal Code: * Phone Number (H): Phone Number (B): Phone Number (M): Authorized Signature(s): Date: * required fields Please fill out this form completely, sign and date, attach VOID CHEQUE and email, mail or fax to: WHITbY HYDRO ELEcTRIc cORP. 100 Taunton Rd. E., PO Box 59 Whitby, ON L1N 5R8 Office: 905-668-5878 Customer Service: 905-668-8480 Toronto Line: 905-427-9481 Fax: 905-668-6598 Email: [email protected] _________________________________________________________________________________________________ PRE-AUTHORIZED PAYMENT PLAN You may pay your Utility account on the due date as indicated on your statement, through the convenience of the Pre-Authorized Payment Plan. HOW IT WORKS The total amount billed will be automatically deducted from your bank on the due date indicated on your statement. You will continue to receive regular statements showing your meter readings, energy consumption, payments and charges to date. CONTROL • Cancellation of this agreement requires ten (10) business days notice before the next debit is scheduled by a cancellation form which can be obtained from any financial institution or by visiting www.cdnpay.ca • Moving your bank account presents no problem, a new cheque to our office will ensure a smooth changeover. DETAILS Once you have completed and returned the “Authorization Form”, we will process the payments on the due date through the regular clearing system to reach your bank account. By a pre-authorized arrangement, your financial institution will know you have authorized the payments and will honour them. To join the Pre-Authorized Payment Plan, complete the attached form and mail it with a void cheque to the address above. Before your application will be processed, any outstanding balances on your account must be paid in full.
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