Notice of Collection of Personal Information

 Personal information on this form is collected under the legal authority of Municipal Act, 2001. The  delegate’s information is collected and maintained for the purpose of creating a record that is available to the general public, pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act. This information is collected and maintained for the purposes of preparing an agenda for Council. 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 

Schedule "A" to
By-law No. 36-2025

Refreshment Vehicle Licence Application

 Applicant Information

Refreshment Vehicle Information

The Applicant certifies that:

• The information provided in this application is true and correct.
• Failure to provide compete or accurate information may delay the licensing process.
• The provision of false information in this application may result in the revocation of any licence issued, in addition to potential fines.
• It is the Applicant’s responsibility to ensure all by-laws, statutes and regulations are complied with at all times.