Freedom of Information Request Form

Please note: A $5.00 application fee is required for all requests.

Request for:

Access to General Records

Access to Own Personal Information

Correction to Own Personal Information

Last Name:

First Name:

Middle Name:

Address (Street/Apt. No./P.O.Box/RR No.)

City/Town:

Province:

Postal Code:

Telephone Number (Day)

Telephone Number (Evening)

Email Address:

Give a detailed description of requested records, personal information or personal information to be corrected. (If you are requesting access to or correction of your personal information, please identify the personal information bank or record containing the personal information, if known.)

Please Note: If you are requesting a correction of personal information, please indicate the desired correction and, if appropriate, attach any supporting documentation. You will be notified if the correction is not made and you may require that a statement of disagreement be attached to your personal information.

Detailed description of requested records:

Please add any supporting documentation here:

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Preferred Method of Access to Records

Examine Original

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I certify that the above information is correct.

Agree

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Today's Date:

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Freedom of Information Request Form