Required fields are marked with asterisks (*)

Declaration of Pecuniary Interest Form

Resources:

Municipal Conflict of Interest Act, R.S.O. 1990, c.M.50
Council Procedural By-law

Agenda

Council

Committee of Adjustment

Fire Service Governance Committee

Other

Dated

Details:

Subject Matter

Item Title

Item Number

Applicant signature/certification:

Declaration type of Pecuniary Interest

Deemed

Direct

Indirect

Reason for declaration

Councillor Name

Councillor Signature

Clear

I herein declare a potential Pecuniary Interest on the above noted Council/Committee agenda item

Yes

* For an “indirect Pecuniary Interest” see Section 2 of the Municipal Conflict of Interest Act.

* For a “deemed” direct or indirect Pecuniary Interest see Section 3 of the Municipal Conflict of Interest Act.

This website uses cookies to enhance usability and provide you with a more personal experience. By using this website, you agree to our use of cookies as explained in our Privacy Policy.