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Freedom of information request form

Under the Freedom of Information and Protection of Privacy Act/Municipal Freedom of Information and Protection of Privacy Act

Note: A $5 application fee is required for all requests. To pay the application fee, please send a cheque payable to “City of Kitchener” to the attention of Monika Tomczyk at 200 King St. W., Kitchener, ON. Additional fees are due upon fulfillment of your request, in accordance with O.Reg 823.

Request for:
 
Preferred method of access to records:
 

If request is for access to, or correction of, own personal information records:

Last name appearing on records:
 

Detailed description of requested records, personal information or personal information to be corrected.

Notice of Collection

Personal information is being collected in accordance with of s. 28(2) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA). The information you provide will be used to correspond with you regarding your request and will be accessible only to select staff who require it to respond to and fulfill your request. The information you provide on this form will be retained on a server owned by a Third Party Service Provider (eSolutions Group) located in Canada. Inquiries about the collection, use or disclosure of your personal information should be directed to Monika Tomczyk at Monika.Tomczyk@kitchener.ca or (519)741-2200 x 7766.