Accessible Customer Service Feedback

Thank you for taking time to provide feedback. We value all of our customers and visitors, and strive to meet everyone's needs. Contact our Clerk at jnethercott@westelgin.net or call 519-785-0560 ext. 222, if you have questions or need more information.

Personal information on this form is collected, used and disclosed in a confidential manner in accordance with the Municipal Freedom of Information and Protection of Privacy Act. The information will be used for the purpose of improving accessible customer service.

Date and Time:

Staff Member:

Department:

Municipal Location:

Did we respond to your customer service needs?

Yes

Did we provide customer service in an accessible manner?

Yes

Do you have problems accessing our goods and services?

Yes

Additional Comments:

Contact Details

Please fill out the following information, if you would like a staff member to contact you regarding your feedback.

Your Name:

E-mail Address:

Home Phone:

Cell Phone:

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Accessible Customer Service Feedback

Contact Details