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2. Address*
4. Applicant Name*

   Property owner completing application form.

6. Applicant Phone*
7. Applicant Email*
9. Property ownership*

   Applicant is the registered property owner and has the support of all other registered owners (multi-family applications to be submitted by an authorized representative of the strata).

   1. I acknowledge
11. Program background*

    Applicant has read the online Frequently Asked Questions.  Key considerations include:

    • Timing – approved applications received in 2025 will have a meter installed in 2026, with metered billing beginning in 2027
    • Applicant Cost – Meter installation cost depends on meter size

    1. I acknowledge
13. Payment preference for meter installation*

    1. Lump sum
    2. Distributed over 3 year
15. Freedom of Information and Protection of Privacy Act*

    By submitting this form, you are consenting to the collection of your personal information for the purposes of the City’s Residential Water Metering Program in accordance with Section 26(c) of the BC Freedom of Information and Protection of Privacy Act. Your personal information will be disclosed to third-party service providers. Questions or concerns should be directed by emailing Engineering Customer Service or calling 604-927-3500.

    1. I accpet
17. Next steps

    Coquitlam staff will contact you upon receipt of your submitted application form to discuss next steps.

Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field