Email Request Form

*Optional*

E-mail Authorization Form

County anticipates a start date for this program: Fall 2021

This is an authorization agreement for e-mailing invoices from the County of Forty Mile No.8

I, Please print your name*, hereby authorize the County of Forty Mile No.8 to e-mail any invoices to the following e-mail address instead of receiving a paper copy. Please complete a separate authorization form with ONE EMAIL ONLY for each Customer ID.

E mail Address*

example@example.com

Phone Number

Customer ID Number

AND/OR

Utility Account Number

Please read and acknowledge the following statements:

Initial* I will notify the County of Forty Mile No.8 with a new e-mail, if I ever change the Initial current one that the County of Forty Mile has on file for me.

Initial* I will open and read any e-mails that the County of Forty Mile sends to me.

Initial* I am solely responsible for the privacy of my e-mail account and maintaining the confidentiality of my password and e-mail account.

Signature*

Date*

Date

Initial* I decline at this time, Thank you

File Upload

P. O. Box 160, Foremost, AB T0K 0X0 - Telephone: (403) 867-3530, Fax: (403) 867-2242