Notice – Ontario Electricity Rebate Eligibility Form Multi-Unit Complexes and Long-Term Care Homes

The Ontario Electricity Rebate provides eligible consumers with a rebate on their before-tax electricity charges on their bills as of November 1, 2019. Residential consumers, farms, those whose demand for electricity is 50 kilowatts or less and those who consume less than 250,000 kilowatt hours of electricity annually are automatically eligible for the Ontario Electricity Rebate.Long-term care facilities and multi-unit complexes need to provide Oakville Hydro with this completed form, confirming their eligibility, to receive the Ontario Electricity Rebate.

Version 2.0 February 1, 2020

The account is in respect of a long-term care home licensed under the Long-Term Care Homes Act, 2007, other than an account that is also in respect of a hospital as defined in the Broader Public Sector Accountability Act, 2010.

The account is solely in respect of a multi-unit complex and all of the following conditions are met:

1. The consumer has a demand for electricity of 50 kilowatts and the consumer uses more than250,000 kilowatt hours of electricity annually.

2. The multi-unit complex contains at least two qualifying units.1

3. At least 50% of the units2 in the multi unit complex are qualifying units.4. No part of the multi-unit complex is one of the following:

• A hotel, motel, motor hotel, resort, lodge, tourist camp, cottage or cabin establishment, inn,campground, trailer park, tourist home, bed and breakfast vacation establishment or vacationhome

• Living accommodation occupied by a person for penal or correctional purposes• A hospital• A premises that is subject to the Ministry of Correctional Services Act or the Child, Youth and

Family Services Act, 2017• Short-term living accommodation provided as emergency shelter• Living accommodation provided by an educational institution to its students of staff where: The

living accommodation is provided primarily to the persons under the age ofmajority, or all major questions related to the living accommodation are decided afterconsultation with a council or association representing the residents, andThe living accommodation is not intended for year-round occupancy by full time students orstaff and members of their households.

• A university, college of applied arts and technology or other entity that provides post-secondaryeducation

• A premises that is identified by a NAICS code commencing with the digits 21, 22, 23, 31, 32 or 33(“NAICS” means the North American Industry Classification System maintained for Canada byStatistics Canada).

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1 See definition of "qualifying unit" on page 3. 2See definition of "unit" on page 3.

To be eligible for the Ontario Electricity Rebate, your account must meet one of the eligibility requirements below:

Notice under Section 1.3(3) of Ontario Regulation 363/16 (General) under the Ontario Rebate for Electricity Consumers Act, 2016

Name of Account Holder Account Number

Service Address City

Postal Code Phone

Email Address NAICS Code (Multi-Unit Complexes)

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Signature Date

Acknowledgment under Section 1.3(3) of Ontario Regulation 363/16 (General) under the Ontario Rebate for Electricity Consumers Act, 2016

I certify that I am the account holder or an individual legally authorized by the account holder to give Notice of Eligibility on the account holder’s behalf.

I certify that the information contained in this Notice of Eligibility is complete and accurate.

If this account ceases to meet the eligibility requirements under the Ontario Rebate for Consumers Act, 2016, I will provide Oakville Hydro with a revised Notice of Eligibility no later than 90 days after the change, specifying the nature of the change and the date on which the change occurred.

I understand that I am entitled to continue to receive financial assistance until the end of the billing period in which the 90th day after the date on which the change occurred, as specified in the notice, falls.

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.

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Name of account holder or authorized representative

New Notice of Eligibility

Revised Notice of Eligibility

Revision Date (if applicable):

Name of Person to Contact About This Form Phone or Email Address for Person to Contact About This Form

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All information submitted in this process will be used by Oakville Hydro in support of its obligations under the Ontario Rebate for Electricity Consumers Act, 2016; the Ontario Energy Board Act, 1998; applicable Ontario Energy Board Codes and Rules; associated policies; standards and procedures; and its license. Oakville Hydro will use the information collected on this form for the purposes of administering the Ontario Electricity Rebate and for auditing purposes.

If you have any questions about this collection or would like further information about Oakville Hydro’s privacy policy, please call 905-825-9400 or email us at privacyofficer@oakvillehydro.com.

For additional information about the Ontario Electricity Rebate please refer to the Ontario Rebate for Electricity Consumer Act, 2016, contact us by telephone at 905-825-9400 or by email at: OntarioElectricityRebate@oakvillehydro.com

"unit" is defined as:

a) a unit as defined in the Condominium Act, 1998,b) a residential unit or a rental unit, as those terms are defined in subsection 2 (1) of the Residential

Tenancies Act, 2006,c) a member unit or a non-member unit, as those terms are defined in the Co-operative Corporations

Act, ord) premise that is a demised premises for the purposes of the Commercial Tenancies Act.

A “qualifying unit” is defined as 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, andc) is occupied and used as a residence.

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You do not have to complete this form if your account is eligible for the Ontario Electricity Rebate because your demand for electricity is 50 kilowatts or less or because you do not use more than 250,000 kilowatt hours of electricity annually. You will automatically receive the Ontario Electricity Rebate for as long as you remain eligible.

DefinitionsDefinitions

Notice of Collection

Instructions

Please return the signed and dated form to us at: In person or by mail to:Oakville Hydro 861 Redwood Square Oakville, ON L6L 6R6

By email to:OntarioElectricityRebate@oakvillehydro.com