Request Form
Municipal Closed Meeting Investigation
In Accordance with
Sections 239.1 and 239.2 of the Municipal Act 2001, as amended
Please Forward Completed Forms to:
Principles Integrity
30 Haddon Street
Toronto, ON M5M 3M9
Or
Township of Oro-Medonte
148 Line 7 South
Oro-Medonte, ON L0L 2E0
Attention: Clerk
Please mark Envelope:
Personal and Confidential
Complaint Under Sections 239.1 and 239.2 of the Municipal Act 2001, as
amended
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Request Form For
Municipal Closed Meeting Investigation
Sections 239.1 and 239.2 Municipal Act 2001,
as amended
Requestor’s Name
Address
Telephone
Home
Work
E-mail
Do you consent to having your identity revealed during the investigation? Yes [ ] No [ ]
Name of Municipality
Municipal Contact Name
Telephone
Date of Closed Meeting
Background
This should provide as much information as required to explain the nature
and background of the particular occurrence. (ie) timing, municipal contact,
municipal explanation.
Notice with respect to the Collection of Personal Information
(Municipal Freedom of Information and Protection of Privacy Act)
Personal information is collected under the authority of Sections 239.1 and 239.2 of the Municipal Act 2001,
as amended, and will used by the Municipal Investigator and the municipality to carry out an investigation
under the Act.
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Action
a. Have you approached municipal staff to resolve this matter? Yes [ ] No [ ]
If yes, who? Date of contact:
b. Other activities that the requestor has undertaken to resolve the matter:
Summary/Comments
Date Signature of Requestor
click to sign
signature
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