Routine Disclosure Request Form - Document Search

Required fields are marked with asterisks (*)

"Document Search" - Routine Disclosure Request

An application fee is required, as per the Fees & Charges By-law.

Notice of Collection of Personal Information

Personal information on this form is collected under the legal authority of Municipal Act, 2001. This information is collected and maintained for the purpose of sending out electronic mail billing. 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

Requester Information:

Name:

Address:

Telephone:

Email:

Detailed Description of Requested Records (Please be as specific as possible. Should you need assistance with clarifying your search, please consult with staff):

Does this request pertain to a specific property?

Yes

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

Receive Electronic Copy

Receive Paper Copy

Please provide a signature.

Clear

If applicable, please upload your Letter of Authorization.

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

Additional Information (if applicable):

Building records provided are copies of those on file at the Municipality of Thames Centre. The Municipality of Thames Centre disclaims liability as to the accuracy of the contents of the building plans as provided and would recommend that you contact the Engineer(s), Architect(s), Surveyor(s) and/or Designer(s) noted on the building plans to confirm accuracy if you intend to rely on them for any reason. Records under copyright may be released under this Policy, provided the records are stamped as a copy and the full provisions of the Copyright Act apply to the use and reproduction of the records.