Claim Application Form | Ontario

Property claims related to meter reading: Submit your claim as soon as possible and within 30 days. Delays in submitting a claim may make it difficult to review evidence and investigate the damage.

Safety violation gas leak disputes: Enbridge Gas uses a manometer to test for gas leaks. If you are disputing a safety violation, your contractor must use a manometer and submit the test results. Alternative testing methods will not be accepted for review.

* 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: Additional file:

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.

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Claimant information

Claim information

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