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Service Requests Form

Please note that the form below is NOT meant for emergencies. Residents can report emergency roads related issues to 905-342-2810 and dial extension 3. For the Drinking Water Emergency After Hours Line, please call 1-866-948-5538.

For by-law related issue reporting, please complete a By-law General Complaint Form.

Issues reported here will be addressed in priority order during regular business hours. To check the status of a previously submitted request please call 905-342-2810.

First Name

Last Name

Telephone Number

Email address

Address (Street Number and Name, Town, Postal Code)

Date of Issue

Please describe the nature of your concern or complaint

Location of Complaint

Attach any related supporting images or files:

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Personal information contained on this form is collected under the authority of Section 4 of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used for processing service requests. Questions about this collection of information should be directed to the Clerk’s Department by mail to PO Box 1060, 8285 Majestic Hills Dr, Cobourg, Ontario, K9A 4M5, telephone at 905-342-2810, or email to clerks@hamiltontownship.ca.