Submit Request: Step 1 of 3

Fields marked with * are required fields, and must be completed.
Please indicate the reason for your request in the "Short Description"; include all applicable details.

Mr. Mrs. Ms.
First Name: *
Last Name: *
Phone Number: *	(please include area code)
Email Address: *
Your Ontario Address
Street No.: *	Street Name: *
Apt./Unit No.:	City: * Postal Code: *
Your Mailing Address *
My mailing address is the same
Street No.:	Street Name:
Apt./Unit No.:	City/Town/Village:
Province/State:	Postal/Zip Code: Country:


Category: * (OOP=Out of Province)

[Driver's Licence Number:]
[Vehicle Identification Number:]
[Licence Plate:]
[Registrant Identification Number:]

Short Description
(max. characters 2,350): *

Request will be rejected if
payment information is
provided in the description

The personal information you provide online on this government Web site is necessary to provide the service you request and will only be used for that purpose. It is collected in compliance with section 38(2) of the Freedom of Information and Protection of Personal Privacy Act, R.S.O. 1990 F.31. You will not be placed on any mailing lists, nor will your information be released to any third party, except as may be authorized by law.

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Last modified: 2024-02-02 11:50:38