Delegation Form

Request to Appear as a Delegation

In order to appear as a delegation this request form must be completed in its entirety and submitted to the Corporate Administration Department by 8:30 a.m. on the Monday prior to the scheduled meeting. Power Point Presentations or other electronic media must also be submitted by 8:30 a.m. on the Monday prior to the scheduled meeting. A separate letter containing additional information may be attached to the form.

City Staff will contact you to confirm your request, and if scheduled, the meeting date. Council meetings start at 4:00 p.m. in the Council Chambers at City Hall (15322 Buena Vista Avenue) and delegations are generally scheduled at the start of the agenda. However, if a Public Hearing has been called for your selected meeting date, the Regular meeting will commence following the adjournment/conclusion of the Hearing (staff cannot anticipate how long this will take). You will be provided a maximum of five (5) minutes with no extensions to present your material. You may speak on more than one topic or have more than one speaker but you must keep your presentation within the allotted five-minute time frame.

In accordance with the City’s Council and Committee procedure Bylaw, all delegation applications will be reviewed by the Director of Corporate Administration prior to being scheduled for the requested meeting. Further, a person may not apply to speak on the same subject/topic more than once within a year starting from the date it was first presented to Council.

Bylaw 2393: Council and Committee Procedure

Section 24 outlines what is not permitted as a delegation. Please contact
604-541-2127 if you have any questions.

Request Details

Requested Meeting Date*

Refer to the Council Meeting Calendar for dates

Organization Name

If Applicable

Name(s) of Presenter(s)*

Address*

Street Address

Street Address Line 2

Phone number*

Email address*

example@example.com

Presentation Topic / Purpose*

Information Only OR Action Requested (Please specify the action)*

Does your requested action have any financial implications to the City?

YesNo

Will you be providing a PowerPoint presentation or other electronic presentation?

YesNo

If applicable, have you spoken with City staff or a specific department regarding your topic?

YesNo

Whom did you speak with, what was the result, and what were the reasons given for the result?

Additional information (e.g. letter, presentation, etc.)

File must be smaller than 5MB in PDF, JPG, DOC, DOCX, PPT, PPTX format.

Electronic Signature Agreement

By selecting "I agree", you are signing this form electronically and you agree your electronic signature is the legal equivalent of your manual signature on this form.*

I agree

Electronic Signature*

Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy Act and will be used only for the purpose of responding to your request.

Today's Date

Please verify that you are human*