We are very sorry to hear of your loss.
As the owner of the animal(s) listed here, I certify that all the information on the first page of this form is accurate. I realize that failure to comply with the regulations and conditions set out in the Town of Cochrane Animal Bylaw 04/2016 can and will result in enforcement action against me.
The personal information on this form is being collected under the authority of section 33 (c) of the Freedom of Information and Protection of Privacy (FOIP) Act. Your personal information may be used by the Town of Cochrane for the purpose the information was collected or compiled orfor a use consistent with that purpose. Your personal and financial information will be managed in accordance with FOIP. If you have any questions about the collection, use, or disclosure of your personal information, please see this link: https://www.cochrane.ca/175/Freedom-of-Information
Access to Information and Privacy Protection
The personal information collected through this form will be used to process your application. The information relates directly to and is necessary for the operation of the program or activity applied for and will be input into an automated system to generate content or make decisions, recommendations, or predictions. This information is collected and used under the authority of Section 4(c) of the Protection of Privacy Act and managed in accordance with the Act. For questions about the collection of personal information, please contact ATI@cochrane.ca.