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Accessible Customer Service Feedback Form

Our goal is to provide services in a manner that enables all participants to fully engage in the electoral process. Please take a moment to complete this form and let us know how we are doing.

View a list of Accessibility Policies, Plans and Procedures.

This document is available as a fillable pdf and/or alternate formats upon request.



2. How did you contact us?


3. Location of contact:
         
         
What service did you access?



   

4. Did we respond to your customer service needs today?            

5. Was our customer service provided to you in an accessible manner?            



8. If you would like us to contact you, please provide your information below:



Preferred method of contact:




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Feedback is gathered on this form pursuant to the Accessibility Standards for Ontarians with Disabilities Act, 2005, O.Reg.191/11 and O. Reg. 429/07,. It will be used to assist the City of Welland in delivering its goods and services in an effective manner to people of all abilities. Any personal information you have provided to us will only be used for responding to your feedback. The authority for obtaining this information from you complies with section 38(2) of the Freedom of Information and Protection of Privacy Act. Questions should be directed to the Office of the City Clerk at 905-735-1700 or election@welland.ca