Authorization to Speak on Someone's Behalf Form

If you would like to speak at a Council meeting on someone’s behalf, the person will need to complete and submit an Authorization to Speak on Someone’s Behalf Form.

Authorizer Information

Authorizer's Full Name:
Authorizer's Mailing Address
Do you consent to being contacted to confirm this request?  
Type of Item 
If someone is speaking on your behalf at a public hearing, are you in support or in opposition? 

Authorized Person Information

Authorized Person's Name:
Authorized Person's Mailing Address:
The information collected via this form is being collected by the Town of High River pursuant to legislation governing the information handling practices of the Town of High River, specifically Sections 33 (a) and (c) of the Freedom of Information and Protection of Privacy Act (Alberta), the Municipal Government Act (Alberta), and other legislation or bylaws governing the municipality, as may be applicable. Should you have any questions related to the collection or disclosure of your personal information, please contact the Legislative Services division for the Town of High River at 403.652.2110.

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