a lake in Kawartha Lakes Bird flying through reeds

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Municipal Investigation Complaint Intake Form

In accordance with Section 239 of the Municipal Act, 2001 as amended
Please forward completed forms to:
City of Kawartha Lakes
Meeting Investigator
26 Francis Street, PO Box 9000
Lindsay, ON K9V 5R8

Complainants Name:

Address:

City/Town/Village:

Province:

Postal Code:

Telephone:

Email:

Please Note: Personal information is colleced under the Authority of Section 239 of the Municipal Act, 2001 (as amended) and will be used by the Municipal Meeting Investigator to carry out an investigation under the Act.

Name of Municipality:

Date of Closed Meeting:

Municipal Contact Name:

Telephone:

Background: Please provide as much information as is required to explain the nature and background of the particular occurrence (i.e. reason provided for closed meeting session, reason for complaint, municipal contact, municipal explanation)

Action: Provide any activity that the complainant has undertaken to resolve the matter

Summary/Additional Comments:

Signature of Complainant:

Date:

Form Builder

Municipal Investigation Complaint Intake Form

Please Note: Personal information is colleced under the Authority of Section 239 of the Municipal Act, 2001 (as amended) and will be used by the Municipal Meeting Investigator to carry out an investigation under the Act.

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