Administration
Access to information request form

Pursuant to section 9 of the Act respecting Access to documents held by public bodies and the Protection of personal information, I wish to obtain a copy of the document(s) identified below.

Applicant Identification

Last Name *

First Name *

Organization / Company

Address *

City *

Postal Code *

Phone Number *

Email Address *

Identification of the Requested Document(s)

List of Requested Documents *

Are the document(s) dated? If so, please indicate the date(s). If you do not know the exact date, please indicate the time period (month/year). *

I wish *

to consult the information in person at the municipal office

to receive a copy of the document(s) at my address

Please note that photocopying and document transmission fees may apply.

Alerts and mass notifications CITAM

Receive information about any emergency or important news from the municipality.

9, chemin Town Hall
West Bolton (Québec) J0E 2T0

Phone number : 450‑242‑2704
Fax : 450‑242‑2705
Email : reception@bolton-ouest.ca

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AdministrationAccess to information request form

Applicant Identification

Identification of the Requested Document(s)

Alerts and mass notifications CITAM

Administration
Access to information request form