2. 

3. 
   Move-Out 
   Notification

5. Moving Out of a Property in Diamond Valley?

   Whether you’re moving to a new home within Diamond Valley, relocating to a different town or city, we need to know when you are leaving and how to reach you in order to ensure the transition goes smoothly. 

   Please complete the following form to help us:

   • Provide a forwarding address for any future correspondence.
   • Deactivate any business or animal licenses in our systems to prevent further payment requests.
   • Stop any recurring payments for taxes or utilities.

   Thank you for your cooperation and best wishes on your move!

   For questions or concerns, please call 403-933-4348 or email info@diamondvalley.town.

7.  Resident Information

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

20.  Move-Out Information

22. Move-Out Date*
    Move-Out Date
24. Are you moving out of Diamond Valley?*

    1. Yes
    2. No
26. New (Forwarding) Mailing Address*

    Please indicate if your current mailing address is being forwarded.

28. Town / City*
29. Province & Postal Code*
31. New Civic Address*

    If moving to a new address within Diamond Valley, what is your new civic / physical address?

33. Do you rent or own your property in Diamond Valley?*

    1. Own
    2. Rent
35. Name of registered property owner*
39. Animal Licences

    Do you have any current animal licences (dogs or hens)?

    1. Yes
    2. No
41. If yes, how many dogs?*
42. If yes, do you have hens?
44. If yes, what are the dog tag number(s) or dog(s) name(s)*
48. Business Licence*

    Do you have a business licence?

    1. Yes
    2. No
50. Will you be closing this business in Diamond Valley?*

    1. Yes
    2. No
52. Name of Business*
53. Business Phone
55. Business licence number (if known)
59. Tax Installment Payment Plan (TIPP) Program**

    Are you currently paying your property tax by installments  through the TIPP Program?

    1. Yes
    2. No
61. Utilities Pre-Authorized Payment Plan (UPP) Program**

    Are you currently paying your utilities automatically through the Utilities Pre-Authorized Payment Plan (UPP) program?

    1. Yes
    2. No

63. ** Unless notified otherwise, pre-authorized withdrawals will cease once the final Utility account balance is settled. For further information, or to alter this arrangement, please contact our Tax and Utilities Department at 403-933-4368 or by emailing tax@diamondvalley.town.

65. Authorization & Agreement

67. Authorization Agreement

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

69. 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
71. Electronic Signature*
72. Date Signed*
    Date Signed
74. Protection of Privacy Act

    The personal information collected through the Move-Out Notification form is for the purpose of ensuring a smooth transition for residents leaving Diamond Valley or moving to another location in town to deactivate or transfer services. 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:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit

* indicates a required field