Accessible Communications Services Request Form

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Personal information in this form is collected by the Accessible Communications Pilot Project to understand existing barriers to participation in City registered programs. Collection is authorized under section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and is managed and protected in accordance with the Act.

Please direct any questions to foip@edmonton.ca

Email *

What is your name? *

Please provide your phone number:

How would you like to be contacted based on the contact information listed above? *

Text

Video Relay Service

Other:

Who are you making this request for? *

Myself

Dependant / Child

Spouse / Partner

Parent

Friend

Other family member

Member(s) of the Public (311 submission)

Member(s) of the Public (CRC submission)

Other:

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