REQUEST TO ACCESS INFORMATION IN CHURCH RECORDS ONTARIO FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT, 1987
PLEASE PRINT LEGIBLY
LAST NAME |
FIRST NAME |
MIDDLE NAME |
STREET ADDRESS |
CITY/TOWN |
PROVINCE |
POSTAL CODE |
YOUR PHONE NUMBER WITH AREA CODE |
YOUR FAX NUMBER WITH AREA CODE |
DETAILS OF RECORD REQUESTED
WEDDING DATE WHAT CHURCH
BRIDE AGE GROOM AGE |
BAPTISM DATE OF BIRTH DATE OF BAPTISM WHAT CHURCH PERSON BAPTIZED
FATHER'S NAME MOTHER'S NAME |
FUNERAL DATE OF DEATH PERSON'S NAME CEMETERY
YOUR RELATIONSHIP TO THE DECEASED |
PLEASE STATE YOUR REASON FOR REQUIRING THIS INFORMATION PLEASE INCLUDE PHOTOCOPIES OF TWO PIECES OF IDENTIFICATION WITH THIS APPLICATION.ONE MUST INCLUDE A PHOTOGRAPH (i.e. a driver's licence or OHIP card) I.D. # 1: ___________________________ NUMBER:__________________________________ I.D. #2: ___________________________ NUMBER:__________________________________ I AM ENTITLED TO RECEIVE THE ABOVE INFORMATION UNDER THE FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT, 1987.
SIGNATURE:__________________________________ ___ DATE:_______________________ A FEE OF $10.00 IS CHARGED TO SEARCH FOR EACH RECORD IF THE INFORMATION IS NOT REQUESTED BY A PERSON REGISTERED IN THE ROLL BOOK OF THE POINT EDWARD-BLACKWELL PASTORAL CHARGE.
RETURN TO:
POINT EDWARD-BLACKWELL PASTORAL CHARGE. 16 ALICE ST. POINT EDWARD ON N7V 1N3 VOICE/FAX: 519-337-5933
1998APEaccess
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