Alternate Format Request

The City of Brampton is committed to providing accessible formats for all online and published content. If you have a disability and would like to receive this material in a format that is more accessible for you, please use the form below to submit a request.

If you require assistance or are unable to fill the form please contact us at accessibility@brampton.ca or 905.874.2101.

Please note: The fields marked * are mandatory.

Requestor Information

First Name*

Please enter the required information.

Last Name*

Please enter the required information.

Telephone Number*

Please enter a valid phone number

Email*

Please enter a valid email

Document Information

Document Name*

Please enter the required information.

Document Location*Paste link or url of document location

Please enter the required information.

Document Format*

Please enter the required information.

Attachment 1

*Please type the letters appearing in the image above. Why do I need to do this?

Please type the letters appearing in the image above.

Submit Reset Cancel Print

Privacy Statement

Personal information, on this form, is being collected under the authority of section 12 of the Integrated Accessibility Standards, Ontario Regulation 191/11 under the Accessibility for Ontarians with Disabilities Act, 2005, and will be used to communicate about accessibility related matters and provide information in an alternate format. Questions about this collection should be directed to the Deputy Clerk, Records & Information Management at accessibility@brampton.ca or by phone at 905.874.2109.