Required fields are marked with asterisks (*)

Request for Ottawa Police Service Documentation in an Accessible Format or with Communication Supports

Required fields are marked with an asterisk ( * )

PERSONAL INFORMATION

First Name

Last Name

Street Number and Name

Unit/Apt/Suite

City

Province

Postal Code

Phone Number

Email Address

DOCUMENT INFORMATION

Name of Document

Date of Occurrence

Language Requested

English/Anglais

French/Francais

What date do you require this information by?

ACCESSIBLE FORMAT OR COMMUNICATION SUPPORTS REQUESTED

Please indicate any specific needs

Personal information on this form is collected under the authority of section 367(1) of the Municipal Act, R.S.O. 1990, c.M.45. It will be used to provide a document or information produced by the Ottawa Police Service, as requested. Questions about this collection may be directed by mail to Corporate Communications, Ottawa Police Service, P.O. Box 9634, Station T, Ottawa, ON K1G 6H5.