FOIP Form Step 1 of 3 33% Title (optional) Full Name(Required) Name of Organization (if applicable) Authorization of Representative FormMax. file size: 128 MB.If you are requesting personal information about a person other than yourself, and that person has given you permission to make this request, you must provide proof of that permission. Attach the required Authorization of Representative FormAddress(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email(Required) Phone(Required) What kind of information do you want to access?(Required) General information Your own personal information General information requests hold an initial fee of $25 Credit CardPlease check your Square settings.To which public body are you making this request?(Required) Do you want to:(Required) receive a copy of the record view the record What record are you wanting to access?(Required)Please give as much detail as possible. (If you want access to your own personal information, be sure to give all your previous names. For another person’s information, you must attach proof that you can legally act for that person.)What is the time period of the records? Please give specific dates.(Required) Signature(Required)Consent(Required) I agree to the privacy policy.Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. Personal information you provide may be used for the purpose of your FOIP request. If you have any questions about the collection and use of this information, please contact the Sturgeon County FOIP Coordinator at 9613 – 100 Street, Morinville, Alberta, T8R 1L9, or phone 780-939-4321.CommentsThis field is for validation purposes and should be left unchanged.