Trespass & Safety Law

Appeal Form

This form is intended for individuals who wish to appeal a trespass notice, restriction, or decision issued under Alderville First Nation’s Trespass and Safety Law. Please complete all applicable sections and provide any supporting documentation relevant to your appeal.

Submitting an appeal does not automatically suspend an existing trespass notice or restriction. Any applicable appeal deadlines and procedures will be governed by the Trespass and Safety Law. All information provided will be handled in accordance with applicable privacy requirements and Alderville First Nation policies.

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Section A - Appellant Information

Your Name
Your Address

Section B -Trespass Notice or Decision

Section C- Grounds for Appeal

Section D - Supporting Information

All supporting documents/evidence must be emailed to officeofcommunitysafety@alderville.ca OR delivered to ATTN: Office of Community Safety, 11696 Second Line Rd., Roseneath ON, K0K 2X0

Section E - Declaration

Fields marked with * are required.
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