Permit Details | City of North Bay

Instructions on how to complete the form are included in the respective fields.

Online Form

Consents and Validations

Consent for collecting, processing and storing submitted data * Yes, I give permission to the City to collect, process and store my data

Yes, I give permission to the City to collect, process and store my data

Identity Validation *

Contact Information

Full Name (first and last) *

Organization *

Title/Position * Enter your title or position

Badge # / Staff I.D. * Enter your badge number or staff identification number. Put N/A if not applicable

Telephone Number * Enter the number where you can be reached. You may enter more than one contact number. Please identify the type i.e. work, cell, home, etc.

Email Address *

Requested Information

Provide a detailed description of the requested information, and indicate the preferred format for disclosure (copy on USB, view original, verbal confirmation, email) *

This information is required for the following * Please indicate the reason for your request

Law Enforcement Proceeding

Investigation

Investigation w/ warrant/summons

Building case for warrant/summons

Issuing a warrant/summons

Public Safety

Other

Incident No(s). * Please indicate the incident number associated with this request. If there is more than 1, please separate with a comma.

Approvals

I am authorized to act as a representative of the above-named law enforcement agency and the requested information is required to aid an Investigation with a view to a law enforcement proceeding or from which a law enforcement proceeding is likely to result.

By checking this box I am certifying that this statement is true and accurate

Manager/Supervisor Badge or ID Number * Enter your Manager or Supervisor's Badge or ID Number.

Manager/Supervisor Email Address * By entering your manager/supervisor's email address you are confirming that you have the authority to make this request.

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for its intended purpose only. Questions about this collection or personal information should be directed to the City Clerk, 200 McIntyre Street East, North Bay ON P1B 8V6, or by telephone at (705) 474-0626 ext. 2510.

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