Required fields are marked with asterisks (*)

Report a Concern

If you want to report a concern in the Township of West Lincoln, please fill in the form below. Thank you for taking the time to help keep your community safe, clean and enjoyable for everyone.

Your Contact Information

Date:

Full Name:

Email Address:

Phone Number:

Street Address:

Concern or Complaint Information

Please describe the location of your concern. Include nearest intersections and other descriptive landmarks.

Please provide a description of your concern.

Would you like to provide an image of the issue?

Yes

Do you want to provide any additional information?

Yes

Would you like us to personally respond to you about your concern?

Yes

Personal information collected will be used for the purposes indicated only, in accordance with the Municipal Freedom of Information and Privacy Act. Questions regarding the collection of personal information may be directed to the Office of the Municipal Clerk.

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Report a Concern

Your Contact Information

Concern or Complaint Information