Delegation Request Form

  • 1 Current About the Delegation
  • 2 Contact Information
  • 3 Acknowledgement
  • 4 Complete
Please complete this form if you wish to speak before Middlesex Centre Council.

This form and any additional information for consideration by Council must be submitted to the Municipal Clerk by 12:00 pm (noon) on the day prior to the requested meeting date.

Have you been in contact with a municipal staff member or council member regarding this matter?
Maximum 5 files.
12 MB limit.
Allowed types: pdf.