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Delegation Request Form

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A full list of Meeting Schedules and Meeting Types can be found on Brockville Civic Web.

MM slash DD slash YYYY
Requested Meeting Type*

Contact Name*
Mailing Address*
Will a PowerPoint presentation be made?*
Accepted file types: pptx, ppt, Max. file size: 8 MB.
Note: An electronic copy of the PowerPoint presentation is required to be submitted to the City Clerk no later than 9:00 a.m. on the day of the meeting in .ppt or .pptx format only.
Personal information, as defined by the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2011, and in accordance with the provisions of the MFIPPA. Personal information on this form will be used for the administering your request. Questions regarding the collection, use and disclosure of this personal information may be directed to:

Freedom of Information Coordinator Clerk’s Office 1 King Street West Brockville, ON K6V 7A5

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