Access Request Form

(MS Word format) (PDF format)

FOI Access Request Form Instructions

To assist with the completion of the access request form, please refer to the sample, as well as the instructions for each area to be filled in

SAMPLE (PDF format)

  1. Mark appropriate box. If in doubt leave blank.
  2. Maiden name or previous name (common-law/legal name change).
  3. How mail is to be addressed.
  4. Last name.
  5. Date of birth - Year-Month-Day.
  6. Mailing address.
  7. Postal code.
  8. For calls between 7:00 a.m.-5:00 p.m. - Monday-Friday (usually business number or cell number).
  9. For calls after business hours (usually home number or cell number).
  10. Indicate preference for mailing or pick up.
  11. Signature of requester.
  12. Date form submitted.
  13. Provide as much detail as possible, i.e. date, time, location, etc.
  14. Produce two (2) forms of Government-issued identification when submitting a request.
  15. Payment of $5.00 Application Fee, with a receipt provided to requester.If payment by mail, send cheque or money order MADE PAYABLE TO THE PEEL REGIONAL POLICE.