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Code of Conduct for Members of Council Request for Inquiry Form

*CONFIDENTIAL*

Name of Requester:

Home Address:

Home Phone Number:

Cell Phone Number:

Email Address:

Inquiry Request

I hereby request the Integrity Commissioner for the Municipality of Mississippi Mills to conduct an inquiry pursuant to section 223.4 of the Municipal Act, 2001

Section(s) of alleged contravention(s) of the code of conduct:

Date(s) and Time(s) of conduct:

Location(s) of conduct:

Name and contact information (phone & email) for persons alleged to be involved in the contravention (including witnesses):

The particulars of the request for inquiry regarding the alleged contravention of the code of conduct from a member of Council are as follows:

Please attached copies of all documents relevant to the requested investigation

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