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> Home > Municipal Services > Corporate Services > Delegation Request Form

LENGTH OF PRESENTATION is 5 minutes

Full Name:

Are you representing a group?

YES NO
Group Name

Your Address (include
Postal Code) or Group

Contact Address:

Phone:

Fax:

Email:

Your title or interest in the group?

Will other representatives be attending?

YES NO

Names & Address of representatives attending with you:

What is the issue you are requesting to attend before Council to discuss?

Have you appeared before Council in the past regarding this issue?

YES NO

SPECIAL NEEDS?

WRITTEN OR ORAL PRESENTATION?

Please provide the Clerk’s Office with a copy of your written presentation by Tuesday morning prior to the Council Meeting.
Oral Written

Do you require copy of staff report? (not available until Friday a.m.)

Pick-Up Fax Email (to Clerk's Department)

If you have further questions, call

the Clerk's Dept. at (519)326-5761

"Building on the Past ... Preparing for Future Prosperity "