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Closed Meeting Complaint and Investigation Request

Once you have completed this application, it will be submitted to:

The Office of the Regional Clerk/Director of Legislative Services

The Regional Municipality of Durham

605 Rossland Road East

P.O. Box 623

Whitby, ON

L1N 6A3

Meeting to be investigated

Meeting Name

Date of Meeting (MM/DD/YYY)

Contact Information

Title

First Name

Last Name

Address (Street/Apt. #/P.O. Box #/R.R. #)

City/Town

Province

Postal Code

Daytime Telephone #

Evening Telephone #

Fax # (if available)

Email Address (if available)

Request Details

Do you consent to having your identity revealed during the investigation?

Yes

Do you agree to be contacted regarding details of the investigation?

Yes

Detailed reason(s) for investigation request:

Have you approached municipal staff to resolve this matter?

Yes

If yes, whom?

Date of Contact (MM/DD/YYY):

Other activities that the requestor has undertaken to resolve the matter:

I would like to receive a copy of the Closed Meeting Investigation Report:

Yes

Date (MM/DD/YYY):

Please certify that the statements provided here are true and correct.

I certify that, to the best of my knowledge and belief, the statements provided here are true and correct

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56, as amended. Questions about the collection of personal information should be directed to the Regional Clerk/Director of Legislative Services, 605 Rossland Road East, P.O. Box 623, Whitby, Ontario L1N 6A3, (905) 668-7711 or 1-800-372-1102.