Cancellation or Change to Pre-Authorized Payment Plan

Please complete this form if you would like to cancel or change any information on your pre-authorized payment plan.

Please be advised that the form must have the property owner’s signature.

Information is collected under the authority of The Municipal Freedom of Information and Protection of Privacy Act. Questions about the collection of personal information should be directed to the Clerk at 519-925-2600.

Terms & Conditions:

You may change your information at anytime, however, we do require 30 days to process your request.

If you are cancelling, you must pay the outstanding balance in full to avoid interest charges.

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 consistent with this pre-authorized payment plan. To obtain more information on my recourse rights, I may contact my financial institution or visit www.cdnpay.ca