Access to Information Request

Fee(s):

Access to Personal Information About Someone Else

$20

Access to General Information

$20

We are authorized by Section 6(1)(a) of The Local Authority Freedom of Information and Protection of Privacy Act to ask for the information on this form. We will use this information to process your request. If we do not collect this information, we may not be able to process your request.

Requesting Applicant

Name(Required)

First Last

OR Name of authorised person or entity if the Applicant is not an individual:

Phone

Email(Required)

(We may need to contact you to verify details about your request)

About The Information You Want To Access

Type of Request(Required)

Access to My Own Personal Information. (No fee is required).

Access to Personal Information About Someone Else. (An initial application fee of $20 is required).

Access to General Information. (An initial application fee of $20 is required).

Please provide full given names, all previous names and applicable personal identifiers. You will be required to provide proof of your identity before responsive record(s) will be released to you.

If you are an agent or intermediary, you must pay the application fee and also, provide proof that you have authority to act for that person (e.g. executorship, guardianship or trusteeship order, power of attorney) before records are released to you. The authorization must be signed (electronic signatures are not acceptable) and dated by that person.

Upload the supplemental and/or required document(s).(Required)

Drop files here or

Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 2 MB, Max. files: 4.

The file upload button can help you submit: 1) screenshots and screen-captures containing images such as your proof of photo identity issued by a government authority or the City of Saskatoon (for current employees); and 2) documents such as proof of representative authorization or legal representative (e.g. power of attorney), to receive personal information on behalf of the person named in this form.

What records do you wish to access? Ensure you are seeking records and not answers to questions.(Required)

Broad, complex requests take longer to process and increase the likelihood of additional fees. Please specify any reference or file numbers, property location, or other identifier.

Attach further information if necessary.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 2 MB, Max. files: 4.

If applicable, enter the specific dates, date ranges or time ranges of the records you want to access.

For example, if you want records for the period January 1, 2021 to April 30, 2022, enter those dates. ‘Present’ will be considered the date your request was received at the office. End dates cannot contain a future date. Longer time frames may result in more records which may impact search and processing time and may result in additional fees.

If applicable, enter the specific mailing address (or property location) related to the record you are seeking.

Preferred Mode To Receive the Responsive Record?(Required)

Pickup at City Hall

Receive a USB (for a $10 fee)

Other

(provide details e.g. receive by mail for a fee or a secure link)

Application Fee

Price:

Date(Required)

Signature(Required)

Please enter your full name.

Total

Comments

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