Access to information request form

Fields marked with an asterisk are mandatory.

Last name:

First name:

Sex:
Female
Male

Name of the organization or business (if applicable):

Address:
apartment
Street not in the list?

City:

Province:

Postal code:

Telephone (home) (e.g.: 819-555-1234):

Telephone (work) (e.g.: 819-555-1234):

Fax:

E-mail:

Identification of the requested document:

Date of the document (if applicable):

Period to be covered by the search (in months, year to month, year) (if applicable):

Method of consultation:
Please specify whether you would like to consult the requested information in person or at city hall or if you would like to have a copy of the document sent to your address.
In person
At City hall
Receive a copy of the document at your address

Characters:

Enter the 8 characters you see above.

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