Self-Declaration Form for Ontario Electricity Rebate 

Effective November 1, 2019, the Ontario government introduced the new Ontario Electricity Rebate, under the Ontario Rebate for Electricity Consumers Act, 2016.

To be eligible to receive the new Ontario Electricity Rebate (OER), your account must meet at least one of the eligibility criteria noted below.

Please complete and submit the Ontario Electricity Rebate Self-Declaration Form to Energy+ Inc. before January 31, 2020, in order to avoid a disruption in the receipt of your rebate.

NOTE: RESIDENTIAL AND SMALL COMMERCIAL CUSTOMERS USING LESS THAN 50kW ARE AUTOMATICALLY ELIGIBLE FOR THE REBATE. THESE CUSTOMERS DO NOT NEED TO APPLY.

ALSO COMMERCIAL ACCOUNTS THAT ARE GREATER THAN 50kW, BUT USE LESS THAN 250,000 KILOWATT HOURS ANNUALLY, AUTOMATICALLY QUALIFY.

ELIGIBILITY CRITERIA FOR THE ONTARIO ELECTRICITY REBATE

DOES YOUR ACCOUNT QUALIFY?

  1. The account has a demand for electricity greater than 50 kilowatts and annual electricity consumption greater than 250,000 kilowatt hours, and
  2. The multi-unit complex contains at least two (qualifying units *) that consist of a self-contained room or set of rooms, contain kitchen and bathroom facilities that are for the sole use or intended use of the unit, and are occupied and used as a residence, and
  3. At least 50 percent of the units within the multi-unit complex are qualifying units * as described.

**A qualifying unit means a unit that, (a) consists of a self-contained room or set of rooms, (b) contains kitchen and bathroom facilities that are for the sole use of the unit, and (c) is occupied and used as a residence. The complex must contain at least two (2) qualifying units AND the number of qualifying units must equal at least 50% of the total number of units within the complex.

PREVIOUSLY ELIGIBLE ACCOUNTS - TRANSITION PERIOD

Important: As part of this rebate program, there will be a period of transition for accounts which do not meet the eligibility criteria listed above, but were previously receiving a reduction on their bill pursuant to the Ontario Rebate for Electricity Consumers Act, 2016, on October 22, 2019.

If your account was a previously eligible account, which are now categorized below, the account will only receive the Ontario Electricity Rebate through October 31, 2020, as long as this form is completed, signed by an authorized officer and is received by Energy+ Inc. by January 31, 2020. If this form is not received by January 31, 2020, the account will no longer receive the Ontario Electricity Rebate as of February 1, 2020.

DOES THE ACCOUNT FALL INTO ANY OF THE FOLLOWING CATEGORIES?

  1. The living accommodation is provided primarily to persons under the age of majority, or all major questions related to the living accommodation are decided after consultation with a council or association representing the residents, and,
  2. The living accommodation is not intended for year-round occupancy by full-time students, staff or members of their households.

ACCOUNT INFORMATION

If you have more than one qualified account, please use a separate declaration form for each account. If there are units in your building or complex that are metered or billed separately from the account referenced, do not include them in the total number of units for this account:

CONSENT TO THE RELEASE OF INFORMATION

I hereby consent to Energy+ Inc. providing the following information to the Minister of Energy, Northern Development and Mines;

  1. Account Name (unless the account is in the name of an individual)
  2. Eligibility Criteria
  3. Whether the account was receiving financial assistance on October 22, 2019
  4. Whether the account is in respect of a hospital or a university, college of applied arts and technology or other entity that provides post-secondary education
  5. Total consumption of electricity of the account for the period from May 1, 2018 to April 30, 2019.

NOTIFICATION OF CHANGE IN ELIGIBILITY

If the account ceases to meet the eligibility requirements, an authorized offier of the company will provide notice of the change in eligibility, through submission of this form with the changed information, within 90 days of the change.

TO BE COMPLETED BY ALL APPLICANTS

I hereby certify that the information contained in this notice is complete and accurate.

I acknowledge that it is an offence to make a false or deceptive statement in a document submitted under the Ontario Rebate for Electricity Consumers Act, 2016.

I confirm the account may be subject to a third-party audit at any time to verify the accuracy of information provided and could be held liable for reimbursement of any funds overpaid.

Clear

By completing the above information, I certify the information to be true, correct and complete. 

Please complete and submit the Ontario Electricity Rebate Self-Declaration Form to Energy+ Inc. before January 31, 2020, in order to avoid a disruption in the receipt of your rebate.

You may submit this form online, by clicking the Submit button, or print a copy of this form and submit by mail, email, or fax to:

Mail:

Energy+ Inc. 

Attention: Customer Care

P.O. Box 1060, 1500 Bishop St. N.

Cambridge, Ontario

N1R 5X6

HAVE QUESTIONS ABOUT THIS DECLARATION FORM?

Contact the Customer Care Department, Monday through Friday between 8:30 am and 4:30 pm. Contact us at seniorcc@energyplus.ca or 519-621-3530