Routine Disclosure for Release of Records

Personal information will be redacted.

*Some requests may be subject to a Freedom of Information Request.

Applicant Information

Name *

First

Last

Location Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Telephone Number *

Email Address *

Please provide a detailed description of the information or documents that you are looking for. *

Please provide supporting documentation if appropriate

Click or drag a file to this area to upload.

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

Date *

Initial Routine Disclosure Charge *

Price: $5.00

Please note that $5.00 is charged per request which includes the first 15 minutes of search time; $7.50 shall be charged for each additional 15 minutes spent by Township staff to search for the records. The initial $5.00 is non-refundable.

+ 1.75% convenience fee *

Price: $0.09

Total

$0.00

Stripe Credit Card *

Card

Name on Card

Freedom of Information Disclaimer

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of processing this request and is maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.

Email *

Name