Required fields are marked with asterisks (*)

Accessible Form Request

Documents found on Milton website sites are available in a variety of accessible formats, including large print, Braille, plain language, or accessible electronic format. To request information in an alternative format please fill out the form fields below.

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used to process and respond to your request. Information may be disclosed as necessary for this purpose, in accordance with MFIPPA. Questions about the collection, use, or disclosure of this information may be directed to the Information Governance and Records Manager at 905‑878‑7252 ext. 2112.

Contact Information

First Name:

Last Name

Email Address:

Phone number:

Street Address:

Town

Postal Code:

Document Information

Please use the fields below to describe the document that you would like to convert, and the format you would like it converted to.

Document Name

Document location. Provide links to webpages if possible.

Attach document if possible (10MB max)

Browse…

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

Your preferred format:

Printed in Braille

Printed in a larger size or font

Alternate electronic format (Word, html, rich text, PDF)

Alternate language (ASL, LSQ, plain language, non-english)

Audio alternative

Other

Acknowledgement

Agree