Routine Disclosure - Additional Search Fee

Applicant Information

Name *

First

Last

Mailing Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Telephone Number *

Email Address *

Description of the documents that were requested. *

Date *

How much additional search time was spent?

15 minutes
30 minutes
45 minutes

Additional Search Fee – 15 minutes

Price: $7.50

+ 1.75% convenience fee

Price: $0.13

Additional Search Fee – 30 minutes

Price: $15.00

+ 1.75% convenience fee

Price: $0.26

Additional Search Fee – 45 minutes

Price: $22.50

+ 1.75% convenience fee

Price: $0.39

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.