Form Builder

Required fields are marked with asterisks (*)

Am I on the Voter’s List

Fill out this form to check to see if you are on the Voter's List for the next Municipal Election.

Last Name

First Name

Middle Name

Date of Birth (YYYY/MM/D)

Phone Number

Email address

911 Address/ Street Address

Canadian Citizen

Yes

Personal infomration contained on this form is collected persuant to The Municipal Freedom of Information and Protection of Privacy Act, and will be used for the purpose of the Municipal Election. Questions about this collection should be directed to The Township of Blandford Blenheim