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Blue Built Home Certification and Rebate Claim form: new multi-residential building

Applicant information

Information for buildings with units to be Blue Built Home Certified


Up to 3


Collection of personal information


Personal information is being collected and will be used for the purpose of the administration of your participation in the Blue Built Home program.

Personal information, as defined by Section 2 of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected under the authority of enter legal authority here; e.g. the Municipal Act, 2001, and in accordance with the provisions of MFIPPA.

If you have questions about this form or the certification requirements, please contact the Blue Built Home Program Coordinator at 519-822-1260 extension 2116, or visit

If you have questions about the collection, use or disclosure of this personal information please contact the City’s Information and Access Coordinator at 519-822-1260 extension 2349 or email

Applicant agreement


I agree to the following: