Delegation Request Form

Delegation Request Form
CustomerID
Contact Information
Name*

First NameLast Name
Phone #*
(000) 000-0000
Email*
example@example.com
Delegation Details
Select a Committee*
Important! At a City Council meeting, Delegations cannot speak on any reports received from these committees:
- Administrative Policies
- Arts, Recreation and Community Policies
- Environment, Infrastructure and Transportation Policies
- Planning
How will you be participating in the meeting?*

VirtuallyIn-person
Subject of Delegation*
Please provide a brief description of what you wish to speak about
Presentation/accompanying documents

Note: Max. file size is 6MB
Cancelof
Notice of Collection

Personal information, as defined in the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected under the authority of and in accordance with MFIPPA. Personal information collected on form will be used by staff to contact you to facilitate your appearance before Council/Committee, and also to communicate Council’s decision after the meeting. Your name will appear on the public agenda which is available to the public on the City's website. Questions regarding the collection, use, and disclosure of this personal information may be directed to the City's Corporate Records and Information Officer, at 613-546-4291 extension 1316 or bjohnson@cityofkingston.ca.
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