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Accessible Format Request

Accessible Format Request Form

Please use this form to request information in an alternative format.

Personal information contained on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25, and will be used for the purpose of administering your request. Questions about the collection of personal information should be directed to the Clerks department at clerks@haltonhills.ca

Contact Information

First Name

Last Name

Email Address

Phone Number

Street Address

Town/City

Postal Code

Document Information

Document Name

Name of department or business area if known

Document location. Provide links to webpages if possible

Please select your preferred format:

Alternate electronic format (Word, html, rich text, PDF)

Printed in a larger size or font

Audio alternative

Alternate language (ASL, LSQ, plain language, non-english)

Printed in Braille

Other

Please provide any additional information that will help us to accommodate your request.

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Accessible Format Request