Notice of Intent to Run

An individual intending to run for Mayor or Council must submit this form to the Election Office before accepting campaign contributions or incurring campaign expenses as set out in Part 5.1 Election Finances and Contributions Disclosure of the Local Authorities Election Act.

Local Authorities Election Act (section 147.22)

I am intending to run for:(Required)

Mayor

Council

Name(Required)

First Last

Address(Required)

Street address Address line 2 City Province Postal code

Phone(Required)

Campaign office

Phone

Other

Email(Required)

Enter email Confirm email

Address of place(s) where candidate records are maintained.(Required)

Records must be kept for a period of three years following election day.

Same as above

Address is different or there is an additional address to add

Additional addresses

Records must be kept for a period of three years following election day.

Address of place(s) where communications may be sent(Required)

Same as above

Address is different or there is an additional address to add

Address of place(s) where communications may be sent

Financial institution name(Required)

Name of the financial institution where campaign contributions will be deposited

Financial institution address(Required)

Address of the financial institution where campaign contributions will be deposited

Name(s) of signing authorities for the above depository(Required)

Additional financial institutions

Yes I have additional financial institutions to disclose

Financial institution name

Name of the financial institution where campaign contributions will be deposited

Financial institution address

Address of the financial institution where campaign contributions will be deposited

Name(s) of signing authorities for the above depository

Date(Required)

Signature(Required)

By typing your name in the signature box, this indicates the information entered into this form is accurate.

Personal information is collected under the authority of s. 33(a) and (c) of the Freedom of Information and Protection of Privacy Act and will be used in the management and administration of the local election. This form may be disclosed as allowed or required by law. If you have any questions about the collection, use or disclosure of this information, please contact the Manager of Legislative Services at 780-929-8782.

Program Registration

Notice of Intent to Run