Form Builder

Required fields are marked with asterisks (*)

Request A City Service

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 mandatory.

The below Web Form is not intended for reporting of emergencies or incidents requiring an immediate response such as a malfunctioning traffic light. Please report urgent action incidents by calling the City at 519-759-4150. General information requests can be handled through the Web Form below. 
If reporting a non-emergency issue/incident, please provide detailed location information in the Question section below.

Minimum characters: 5

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 Brantford Customer Service
Brantford City Hall
58 Dalhousie Street
Brantford, Ontario   N3T 2J2
Telephone: 519-759-4150
customercontact@brantford.ca