Freedom of Information Request - Township of Minden Hills

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Freedom of Information Requests

This form can be used to submit a Freedom of Information Request.

There is a $5.00 application fee for all requests. Requests are not considered complete until payment is received. Kindly contact our office to arrange for payment.

If you have any questions regarding this form or the Freedom of Information process, please contact the Municipal Clerk at 705-286-1260 ext. 515 or via email.

Notice of collection: Personal information contained on this form is collected pursuant to the Freedom of Information and Protection of Privacy Act / Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to the request.

Last Name

First Name

Middle Name/Initial

Address:

City / Town

Postal/Zip Code

Telephone Number:

Email Address:

Please select the type of information being requested:

Access to general records

Access to your own personal information

Correction of your own personal information

Provide a detailed description of the requested records, personal information or personal information to be corrected. If the space provided is not sufficient, additional pages can be attached.

Upload additional information here. File size can be no more than 2MB and must be in doc, docx, txt or pdf format.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Is your request for a specific date or a date range? (Please specify dates)

Preferred method of access to records:

Receive Copy

Examine Original

Date of form submission:

Signature:

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