Deputation Request Form

Any submissions and background information for consideration by City Council must be submitted to the Legislative and Court Services Department by 9:00 a.m. on the WEDNESDAY PRIOR TO THE REQUESTED MEETING.

Council Meeting Date:

General Committee Motion Number:

Subject:

Name of Person to Appear:

First

Last

Email Address:

Address Line 1

Address Line 2

City/Town

Postal Code

Phone:

Home:

Business:

Name of Person Requesting Appearance (if different from person appearing):

First

Last

Phone:

Home:

Business:

Name of Group or Person(s) Being Represented (if applicable):

Brief Statement of Purpose of Deputation:

Letter Submitted with Request:

Yes

Personal information on this form is collected under the legal authority of the Municipal Act, S.O. 2001, c.25 as amended. The information is collected and maintained for the purpose of creating a record that is available to the general public pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act. Questions about this collection should be directed to the City Clerk, City of Barrie, 70 Collier Street, P.O. Box 400, Barrie, L4M 4T5, Telephone 705 739-4204.

City of Barrie, Legislative and Court Services Department
70 Collier Street, P.O. Box 400, Barrie, L4M 4T5
Tel: 705 739-4204 Fax: 739-4243
www.barrie.ca

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Deputation Request Form