Scroll Request Form

To request a certificate for yourself or someone you know, simply fill in the below form.  The Community Office will request certificates from the Member of Parliament and the Premier.  (Unfortunately the Lieutenant Governor will not accept requests from MPP offices, but we can offer you information on how to do this yourself.)

For help or more information, contact the Community Office at 416-763-5630.

  1. Requestor Information
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. (valid email required)
  9. Recipient Information
  10. (required)
  11. (required)
  12. (required)
  13. (required)
  14. (required)
  15. (required)
  16. (required)
  17. (required)
  18. (required)