Certificate Request Form

  • Fill out the form below to request a certificate for a special occasion.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • If you require further assistance, please do not hesitate to contact us at 613-392-2841, Ext. 4433 Personal Information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of responding to your request. Questions about this collection should be directed to the Freedom of Information and Privacy Coordinator/City Clerk for the City of Quinte West, 7 Creswell Drive, PO Box 490, Trenton, ON K8V 5R6 or at 613-392-2841.

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