Online Report Form For Your Use

This form has been created for those individuals who would prefer to provide needed information online. Should you require assistance, please don't hesitate to contact us. We are happy to assist. You can contact us at 31- 460 Brant Street, Burlington, Ontario L7R 4B6, Local Telephone: 905-333-3359; Toll Free: 877-333-9302; Emergency Pager: 905-645-3147.

After completing the form, use the "Submit" button at the bottom to send your information. Should you wish to print a copy of the form for your own records, simply use the "File - Print" command on your internet browser.