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Accessibility Feedback Form

The City of Brantford has established a process for receiving and responding to feedback about the manner in which it provides goods and services to persons with disabilities. Feedback may be provided in person by visiting any City facility, by telephone by calling 519-759-4150, or by email to accessibility@brantford.ca

This form is intended to provide a consistent format for receiving feedback information, but is not meant to be the exclusive format for receiving feedback.

General Information

Type of form submission Type of form submission

Complaint

Feedback

Personal Information

Name

Mailing Address

Telephone Number

Email ID

Filled out by staff? Filled out by staff?

Yes

Your Comments

Subject

Description

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 Contact Centre
Brantford City Hall
100 Wellington Square
Brantford, ON N3T 2M2
Telephone: 519-759-4150
Email: accessibility@brantford.ca