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Freedom of Information and Protection of Privacy

Once completed, click submit to send this form directly to the District of Sechelt Corporate department, or click here for a fillable PDF that you can print and drop off at Municipal Hall, or email to corporate@sechelt.ca.

You may make a request for access to records without using this form, provided you do so in writing.
Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy Act and will be used only for the purpose of responding to your request.

Your Information

Last Name

First Name

Address

City/Town

Province/Country

Postal Code

Daytime Phone No.

Alternate Phone No.

E-Mail Address

Information Request

REQUESTED INFORMATION- Be as specific as possible, as this will assist the request process. Attach a seperate sheet if the space below is not sufficient. Please also specifiy any reference or file number(s), if known.

Additional Request Information

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Are you requesting access to another person's personal information?

Yes

If requesting personal information please attach as appropriate: A) That persons signed consent for disclosure, or B) Proof of authority to act on that person's behalf

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Preferred method of access to records?

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Your Signature

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Date Signed