Collection of Personal Information
Personal information on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, C.25, and will be used for the purpose of program registration, payment, aggregate statistical reporting and allocation of staff resources. Questions about this collection may be directed to the Town of Ajax Records & FOI Coordinator at 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9 or 905-619-2529 x 3343.
Accessibility
If you require this form in an alternative format, please contact the Town of Ajax Accessibility Coordinator, at 905-683-4550, or by e-mail at contactus@ajax.ca.