Required fields are marked with asterisks (*)

Deputation Request Form

Please submit your deputation request form and all presentation material by 9:00 a.m. the Wednesday prior to the Council Meeting.

All presentation material will be attached to the public agenda.
View Ramara's meeting portal to view our meeting schedule.

Preferred meeting date:

Name of person requesting deputation:

I am requesting to speak (select one):

on my own behalf

on behalf of a group/organization/association

If on behalf of a group/organization/association, please state group name and names of additional people making the presentation:

Do you require the use of Ramara equipment for your presentation?

Laptop

Projector

Have you had previous discussions or correspondence with Council or Department Managers? If so, with whom and when?

Please describe the subject matter you wish to present:

Please identify the type of action you are seeking of Council on this issue:

No action, e.g. awareness of topic or organization

To request action

Attach your presentation material here, if applicable: (10 MB limit)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Contact Information

Mailing Address:

Phone Number:

Email Address:

Acknowledgement

It is the responsibility of the requester/presenter to ensure that they have received consent for any third party information.

The completed deputation request and presentation material will be published in their entirety in the public agenda available through the municipality's website.

Scheduling will be at the discretion of the Clerk, and will be confirmed no later than the last business day of the week prior to the meeting.

There are no guarantees that by requesting a certain date(s) your deputation will be accepted, as prior commitments may make it necessary to schedule an alternate date suggested by the Clerk.

Please sign stating you acknowledge the above information.

Clear

Notice of Collection

The personal information recorded on this form is collected and maintained in accordance with MFIPPA - the Municipal Freedom of Information and Protection of Privacy Act and will be used for the sole purpose of processing your request. Questions about the collection of personal information may be addressed to the Clerk, Township of Ramara, 2297 Highway 12, P.O. Box 130, Brechin, ON L0K 1B0, 705-484-5374.

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Deputation Request Form

Contact Information

Acknowledgement

Notice of Collection