Council Delegation Requests

Thank you for your interest in appearing before the Township of Howick Council.

The Delegation Request Form and any written submissions or background information for consideration by Howick Council must be received by the Clerk's Office before noon on the Wednesday prior to the requested meeting date. For meeting dates, see the Schedule of Regular Council Meetings.

Please be aware that written submissions from approved delegates to the Township of Howick's Council may be distributed publicly.

Required Fields are marked with asterisks (*)

Council Delegation Request Form

First Name:

Last Name:

Email:

Phone:

Address:

Address 1

ZIP / Postal Code

Are you representing a group?

Yes

What is your preferred meeting date to appear as a delegation?

Please indicate how you intend to interact with the Council Meeting

In person

Audio (teleconference)

Provide written comments only

Please describe the issue you intend to present

Please indicate specific actions you would like Council to take.

Staff Report # (if known)

Please provide your comments in support or opposition to the staff recommendation

Do you require any accessibility accomodations?

Yes

Optional: Upload the written submission that you wish to share with Council

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

Any presentations or documentations not submitted in advance will not be accepted at the Council meeting.

Personal information on this form is collected under the legal authority of the Municipal Act, 2001,as amended. This information is collected and maintained for the purposes of creating a record that is available to the general public., pursuant to Section 27 of the Municipal Freedom of Information and Protection of Privacy Act. Questions about this collection should be directed to the Clerk at 44816 Harriston Road, RR1 Gorrie, ON N0G 1X0, 519-335-3208.

Municipal Information including minutes, agenda and packages will be provided in an accessible format upon request. If you require information provided in an alternate format, please contact the Clerk.