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Required fields are marked with asterisks (*)

Certificate Request Form

Event Details

*Please note that a minimum of three weeks’ notice from the celebration date must be given in order for the certificate to be prepared in time for the occasion.

Requester's Information

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 and or inquiry to the City of Brantford. Questions about this collection should be directed to:

Administrative Coordinator, Office of the Mayor and CAO
City of Brantford 
Brantford City Hall
100 Wellington Square
Brantford, ON N3T 2M2
Telephone: 519-759-4150
Email For questions specific to the collection of personal information