Required fields are marked with asterisks (*)

Accessible Customer Service Request

Please fill out the following form to request an alternative format for documents provided by Otonabee Conservation.
Thank you

Personal Information

First Name

Last Name

Address 1 (include street number, street name, direction, etc)

Address 2 (PO Box, Apartment, Suite, etc)

City

Postal Code

Daytime Phone Number

Email Address

Document Information

Name of Document

Description of Document

Language Required

Accessible Format Requested: (e.g. Braille, Large text) Please indicate any specific technical needs

When do you require this information by?

Personal information on this form is collected under the Municipal Freedom of Information and Protection of Privacy Act and Ontario Regulation 429/07, Accessibility Standards for Customer Service and will be used to process this form and will be kept on file to facilitate improvements to the customer service policies, practices and procedures of Otonabee Conservation. Questions about this collection should be directed to Otonabee Conservation, 250 Milroy Drive, Peterborough, Ontario Attention: Denyse Landry