Bylaw Complaint Form

Personal information contained on this form is received by the Town of Golden in confidence. This confidentiality cannot be guaranteed if this complaint results in court proceedings. Release of this information is governed by the provisions of the Freedom of Information and Privacy Act.

Complainant

Name

Address

City/Town

Province

Postal Code

Phone Number

Email Address

Incident Information

Address

Where alleged bylaw violation is taking place.

Name of Occupier of Property (if known):

Name of Registered Property Owner (if known)

Detailed description of alleged bylaw violation and how it affects you, your property, or daily life.

(Attach as a separate sheet if required.)

Additional Information

Maximum 3 files.
32 MB limit.
Allowed types: gif, jpg, png, txt, pdf, doc, docx, ppt, pptx, xls, xlsx, zip.

Date of alleged bylaw violation

Time of alleged bylaw violation

Declaration

By submitting this complaint form, I confirm that I understand that the Town of Golden will be unable to guarantee confidentiality of the above information if this matter results in court action or an order from the Provincial Information and Privacy Commission.

Declaration (your name)

Today's Date

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