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Freedom of Information Request

Municipal Freedom of Information and Protection of Privacy Act ( MFIPPA)

Application Fee *$5.00. An application fee of $5.00 must accompany all requests for information and/or correction requests. Please make cheque/money order payable to Loyalist Township. Forward to the Township Clerk’s Office at P.O. Box 70, 263 Main Street, Odessa, ON K0H 2H0.

Please include a copy of a signed form of identification, with any request for your own personal information.

Requested for:

Loyalist Township department or other institution (if applicable)

Last name

First name

Initials

Daytime telephone number

Address

City/Town

Province

Postal code

Evening telephone number

Email address

Detailed description of requested records, personal information records or personal information to be corrected. ** If you are requesting a correction of personal information, please indicate the desired correction and attach any supporting documentation

Preferred method of access to records:

Receive copy

Examine original

Fees: Please note processing costs (i.e., photocopying, postage) may apply

Please attach a copy of a signed form of identification

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