Exemption from Additional User Rates Charges Application

Property owners who have an additional dwelling unit on their residential property and who occupy the property as their principal residence may apply annually for an exemption from the additional user rate charges for one of the following reasons:

Additional dwelling unit is not being rented*;
Additional dwelling unit is occupied by an immediate family member*; or
Additional dwelling unit is not used as a separate residential unit*;
Additional dwelling unit is decommissioned (removed with a Building Permit).

To apply for, or decline this exemption, you must submit a completed application form to our office no later than the date stated within the letter mailed by the City. If we do not receive your application by the stated deadline, the City will assume the property is not eligible and changes to your user rates account and cart set will be processed automatically, if applicable.

Before you apply, please familiarize yourself with the service charge and container changes related to this exemption. For this information, visit: Additional Dwelling Unit Charges

Are you applying for an exemption?

Yes

Is this your principal residence?

Yes

PROPERTY INFORMATION

User Rates Account Number (can be found on the letter):

Property Street Address:

Property City

Property Province

Property Postal Code

OWNER INFORMATION

Name(s):

Mailing Address:

Postal Code:

Email:

Phone:

ACKNOWLEDGEMENT

I/we have read and understood the information above and I/we understand the changes that might affect how my property is billed for water, sewer and garbage.

Select the code from your letter

100: New

200: Renewal

Will the use of the additional dwelling unit change in 2027? (Examples: Renting the unit or immediate family member currently occupying the unit is moving out)

Yes

Select a choice if applying for the exemption:

Decommissioned

Additional Dwelling Unit is occupied by an immediate family member

Additional Dwelling Unit is not used as a separate residential unit

Additional Dwelling Unit is vacant

Please provide additional details regarding the removal of the unit:

Please identify the relationship to the immediate family member:

Would you like to provide any additional comments?

Please select one of the options below for the garbage cart:

I would like to keep the 120L garbage cart

I would like to keep the 240L garbage cart (at an additional daily charge)

I would like to downsize to the 120L garbage cart

I would like to upsize to the 240L garbage cart (at an additional daily charge)

Please select one of the options below for the recycling cart:

I would like to keep the 240L recycling cart

I would like to keep the 360L recycling cart (no additional daily charge)

I would like to downsize to the 240L recycling cart

I would like to upsize to the 360L recycling cart (no additional daily charge)

OWNER ACKNOWLEDGEMENTS

I/we certify that the above-noted property: a) contains an additional dwelling unit such as a Secondary Suite or Carriage House, b) the additional dwelling unit has been decommissioned (removed), or c) there has never been an additional dwelling unit at this property as long as I/we have owned it.

I/we understand that my User Rates account will be invoiced according to the information submitted on this form and in accordance with the user rates Bylaws. Additionally, the carts at the property will be automatically exchanged for the standard set of carts based on my property type and the exemption status, if applicable. If the carts are not accessible at the time of the exchange, the City will access my/our property to complete the exchange.

If I/we no longer qualify for the exemption, I/we have thirty (30) days to notify the City at which time additional user rates charges will be added to my/our User Rates account. Failure to notify the City may result in retroactive changes to my/our User Rates billing.

I/we have read and agree to the above terms and conditions

I/we certify

Freedom of Information and Protection of Privacy Act Statement:

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Privacy Protection Act (FOIPPA), and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose.

For further information regarding the collection, use, or disclosure of personal information, please contact the Legislative Services Office at 250-755-4405 or at foi@nanaimo.ca

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Declaration Status:

Decomissioned

Vacant

Family

One Unit

Not Eligible

STR

UB Initial & Date:

Supervisor Initial & Date:

Application status:

Approved

Denied

Additional Notes:

Last updated: June 26, 2026

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Freedom of Information and Protection of Privacy Act Statement:

For further information regarding the collection, use, or disclosure of personal information, please contact the Legislative Services Office at 250-755-4405 or at foi@nanaimo.ca

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