Freedom of Information | City of Burnaby

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Access to Records Request Form

A request for access to recorded information or personal information that is not routinely available can be made using the form below.

If any information provided is incomplete, it may delay the processing of your request.

Contact information

For the purpose of providing access to you, you may be required to provide proof of your identity.

First name

Middle name

Last name

Company name (if applicable)

Address

City

Province

Postal code

Phone number

Email address

Confirm email

Time frame

Please specify the time frame of the records you are seeking.

Details of requested information

In order to assist the request process, please be as specific as possible.

What kind of records do you want access to?

Personal information includes all recorded information about an identifiable person (name, address, phone number, gender, age, race, financial and employment histories, etc.)

Your own personal information

Access to another person's personal information

General information

To access another person's personal information, please attach:

That person's signed consent for disclsoure, or
Proof of authority to act on that person's behalf

One file only.
45 MB limit.
Allowed types: pdf, doc, docx.

Preferred method of access to records

Examine original

Receive a copy

Signature acknowledgement

By adding your name here, you confirm that the information provided is correct.

If there is any reason why you are not able to submit this form, we would accept your request in writing to Legislative Services, 4949 Canada Way, Burnaby BC V5G 1M2 or via email to [email protected].

Your privacy

Your personal information is being collected and used for the purpose of responding to your FOI request and will be managed in accordance with s. 26 (c) of the Freedom of Information and Protection of Privacy Act. For questions regarding the collection of Personal Information and receipt of electronic messages please contact: Marketing and Corporate Communications at [email protected].