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Request for Closed Meeting Investigation

Pursuant to section 239.1 of the Municipal Act, 2001 regarding a meeting or part of a meeting that was closed to the public.

First and Last Name

Street Address

Town/City

Mailing Information (RR, P.O. Box)

Postal Code

DaytimeTelephone Number

Email Address

Note:

Please note that personal information is collected under the authority of section 239.1 of the Municipal Act, 2001 and may be used by the closed meeting investigator to carry out an investigation under the statute.

Name of Municipality, local board or committee

Date of Closed Meeting

Reason(s)

Note:

Please provide detailed information relevant to the subject matter, background and reasons for your request sufficient to establish reasonable and probable grounds for an investigation. Additional page(s) may be used if required.

Additional Information

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Signature of Person Filing the Request

Clear

Date Signed

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Request for Closed Meeting Investigation