Request Alternate Format or Communication Support

The Town of Whitby is committed to providing information in the format that meets your needs. If you need information in an alternate format or with the assistance of a communication support, please complete this form and forward it to the responsible Department directly. Alternatively, call 905-668-5803 to make your request by phone.

Name

Address

City / Town

Province

Postal Code

Telephone Number

Document Title or Meeting Date required

Additional information regarding the request or document (i.e. time factors such as a set public consultation period)

Alternative Format or Communication Support requested

American Sign Language Interpreter

Electronic Version

Audio

Large Font

Braille

Other

Colour Contrast

If you require a specific font size, colour contrast, or other accommodation as indicated above, please provide the details in the box below

Personal information on this form is being collected under the authority of the Municipal Act. It will be used to provide a document or information produced by the Corporation of the Town of Whitby, as requested. Questions about collection of personal information may be directed by mail to the Town Clerk, Town of Whitby, 575 Rossland Road East, Whitby, ON, L1N 2M8.

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Request Alternate Format or Communication Support