Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) Request Form

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

Payment can be deposited in the drop box or mailed to the Municipal Offices.  The Town does not accept credit cards or payment over the phone.

**Please note the request is not considered complete until payment is made.**

Name of Institution request made to:

The Corporation of the Town of Niagara-on-the-Lake

Request for:
 (e.g. Larger font type, paper, USB Key)
Last name same as below, or
Name
905-468-XXXX
If you are requesting access to or correction of your personal information, please identify the records containing the personal information, if known*)

*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. 
Preferred method of access to records:
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