Neighbourhood watch block captain application

Personal information
mm/dd/yyyy
Contact information
A0A 0A0
000-000-0000
Additional Information
Please use street names and number if possible
Block Captains are not vetted by the Winnipeg Police Service and are run independently in their respective communities
CAPTCHA
19 + 1 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Privacy statement

This collection of your personal information is authorized by section 36(1)(b) of The Freedom of Information and Protection of Privacy Act. Your information will be used to respond to you and to assure service quality. It is protected by the Act’s privacy provisions and will not be used or disclosed for any other purpose, except as authorized by law. Contact the Corporate Access and Privacy Officer by mail (City Clerk’s Department, 510 Main Street, Winnipeg MB, R3B 1B9) or by telephone (311), if you have questions about the collection or use or your personal information.

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Information collected will be used to improve our website. Do not use this form to submit a request for service or information because it will not be forwarded to departments for response. To submit a request for service or information, contact 311.

This form is not intended to collect personal information; however, any personal information you choose to include in your comments is collected by the City of Winnipeg under the authority of section 36(1)(b) of the Freedom of Information and Protection of Privacy Act for the purpose of improving our website and will not be used or disclosed for any other purposes, except as authorized by law. Contact the Corporate Access and Privacy Officer by mail (City Clerk’s Department, Susan A. Thompson Building, 510 Main Street, Winnipeg MB, R3B 1B9) or by telephone (311) if you have any questions about the collection of this information.