Name E-mail Telephone Your Address Your Address Address 2 City/Town State/Province - None -British ColumbiaAlbertaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Incident Address Address of the Incident/Complaint Address 2 City/Town State/Province - None -British ColumbiaAlbertaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code MessagePersonal information contained on this form is collected and used only for the purposes of responding to your request, as per Section 26(e) of the Freedom of Information and Protection of Privacy Act (FOIPPA). The information on this form is collected for use by the City of Vernon. For more information, please contact the Records Coordinator.
