We will require some basic contact information to process your request in the event that we need to follow-up, request additional information, or report on progress. All contact information fields are required.
Additional information may be required to handle your request. Any required fields are labeled with a red asterisk (*).
Personal information on this form is collected under the authority of Section 10(1) of the Municipal Act, 2001, S.O. 2001, c.25, as amended and will be used to contact you concerning your service request/inquiry to the City of Brantford. Questions about this collection should be directed to:
City of Brantford58 Dalhousie StreetBrantford, Ontario N3T 2J2 Telephone: 519-759-4150Email: For questions specific to the collection of personal information.
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