AODA Form Request - London Police

Required fields are marked with asterisks (*)

ACCESSIBILITY FOR ONTARIANS WITH DISABILITIES ACT (AODA)

DOCUMENT / ACCESSIBILITY REQUEST

First Name:

Last Name:

Date of Request:

Address:

City:

Province:

Postal Code:

Phone Number:

Email Address:

Date Required By: (If Applicable)

REQUEST TYPE

Type of Service Required:

Personal Information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your request.

Any questions about this collection should be directed to the Sergeant, Corporate Support and Continuous Improvement Unit.

Telephone: 519-661-5998
Email: accessibility@londonpolice.ca