Claim Application Form | Enbridge Gas

Property claims related to meter reading: please ensure your claim is submitted as soon as possible, and within 30 days. If there is an unreasonable time period between the alleged damage and the receipt of your claim, it is difficult to review evidence and investigate the claim.

* Mandatory fields.

Claimant information

Corporation/business name:

Mr. Mrs. Ms.

Last name:*

First name:*

Main contact phone number:*

Email address:*

Enbridge Gas account number (if a current customer):

Address of occurrence:*

City:*

Province:*

Postal code:*

Mailing address (if different from above address):

City:

Province:

Postal code:

Claim information

Date of occurrence:*

Total amount claimed:

If the claim relates to a residential property: Are you the owner? Are you a tenant?

Description of events (please provide detailed information about your claim):

Attach any documents/photos associated to this claim:*

Due to a technical issue, you cannot submit the form without an attachment. If you do not have any documentation or evidence (such as photos) to submit, please attach a blank document or image.

Claimant signature:

Signature date:

Please allow a minimum of 90 days from date of receipt to be contacted for a status update.

Prior to any settlement funds being paid, the claimant will be required to sign a full and final release in a form prescribed by Enbridge Gas.

Claimant information

Claim information

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