• Home
• »Contact
• »Online Forms
• »Request for Access to Records

Request for Access to Records

Please read the following carefully.

• When describing the records you are requesting, please as specific as possible as this will assist the request process.
• If you are requesting information about another person, please provide the Village of Pemberton's Freedom of Information office with that persons signed consent for disclosure and/or proof of authority to act on that persons behalf.
• Personal Information container 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.

All bold fields are required. Thank you.

1. Full Name
2. Email Address
3. Phone Number
4. Mailing Address
5. Street Address
6. Town/City
7. Province
8. Postal/Zip Code
9. Country
10. Details of request
11. Reference or file number(s), if known
12. Preferred method of access to recordsExamine original
    Recieve copy
13. Are you requesting another persons personal information?Yes
    No

Last Updated on Tuesday, April 12, 2011