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Alternate Format Request Form

Accessibility Standards for Customer Service - Alternate Format Request Form

Please complete the below information:

Full Name

Telephone Number

Street Address

Email address

Home Phone

Department Involved

Request

Municipal Freedom of Information and Protection of Privacy Act
Personal Information on this form is collected under the authority of Ontario Regulation 429/07, Accessibility for Customer Service. The information will be used to process this form and will be kept on file to facilitate improvement to the Municipality’s customer service policies, practices, and procedures. Questions about this collection should be directed to the Township of Blandford-Blenheim.