Form Builder

Accessible Format 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.

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

Personal information, on this form, is being collected under the authority of section 12 of the Integrated Accessibility Standards, Ontario Regulation 191/11 under the Accessibility for Ontarians with Disabilities Act, 2005, and will be used to provide accessible formats and communication supports to Milton residents with disabilities, and may be used to contact you regarding National Access Awareness Week activities. Questions about this collection should be directed to the Coordinator, Accessibility, 150 Mary St. Milton, ON. L9T 6Z5, 905-878-7252

Acknowledgement

Agree