By providing your signature you attest the information you have provided is accurate and complete to the best of your knowledge.
The information provided in this form is collected under the Municipal Freedom of Information and Protection of Privacy Act. PPersonal information on this form will be used to determine your eligibility for specialized transit services and to provide you with appropriate transit services. We may contact you to notify you of transit service changes. We will also use de-identified data to compile statistical information for program planning
Questions regarding the collection of this information and how it is used may be directed to 613-258-9569 ext. 0