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Request Form

under the Freedom of Information and Protection of Privacy Act/Municipal Freedom of Information and Protection of Privacy Act

Please Note: A $5.00 application fee is required for all requests.

Personal information contained on this form is collected pursuant to the Freedom of Information and Protection of Prviacy Act/Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your request. Questions or concerns about the collection of this information can be directed to the Clerk at 4305 Hamilton Road, Dorchester ON N0L 1G3, Phone: 519-268-7334 ext 254 or clerk@thamescentre.on.ca 

 

Instructions for Completing Access or Correction Request

Informal Access to Records

Many records of public institutions are available to you without making a request under the Freedom of Information and Protection of Privacy Act or the Municipal Freedom of Information and Protection of Privacy Act

Contact the Legislative Services department to determine whether you need to make a formal request. 

Type of Request

Check the box that indicates what you are requesting. Records that do not contain personal information are general records. 

The Clerk is required to verify your identity before giving you access to your own personal information. 

If you are requesting another person's personal information records, you must provide proof that you have the authority to act for them (e.g. power of attorney, guardian or trusteeship order)

Description of Records or Correction Requested

Provide as much detail as possible about the requested general records, own personal information, other's personal information or correction of own personal information. If you are requesting personal information records, provide the name that should appear on them. 

Specify the time period for the records as precisely as possible (e.g. from 2008/07/21 to 2009/11/30)

If you are requesting a correction of your own personal information records, describe the correction you want and provide any supporting documents. If possible, provide copies of the information to be corrected and the information you wish to have it replaced with. 

Check a box to indicate whether you want to examine original documents (which may only be done on site) or receive copies. Please note that should you wish to receive paper copies of records, additional fees may be incurred as per the current Fees & Charges by-law. 

Payment and Signature

A $5 application fee is required. Cash payments must be paid in person. Please make cheques payable to the Municipality of Thames Centre.

Request for:
 

Name of Institution Request made to:

Municipality of Thames Centre

Preferred method of access to records (additional fees may apply):
 
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