<form-template> <fields> <field type="paragraph" subtype="p" label="The City of Dauphin will provide information upon request in the most appropriate accessible format. This may include electronic formats, large print formats, and/or audio formats, as examples. Any information found on our website or that we provide can be available in an alternate format upon request" class="paragraph"></field> <field type="header" subtype="h1" label="Personal Information" class="header"></field> <field type="text" subtype="text" label="Name" class="form-control text-input" name="text-1727289786317"></field> <field type="text" subtype="text" label="Address" class="form-control text-input" name="text-1727289784184"></field> <field type="text" subtype="text" label="Phone Number" class="form-control text-input" name="text-1727289782105"></field> <field type="text" subtype="text" label="Email Address" class="form-control text-input" name="text-1727289776082"></field> <field type="header" subtype="h1" label="Document Information" class="header"></field> <field type="text" subtype="text" label="Name of document you would like in an alternate format" class="form-control text-input" name="text-1727289864978"></field> <field type="checkbox-group" label="Which format type would you prefer?" class="checkbox-group" name="checkbox-group-1727289900341" enable-other="true" other="true"> <option value="option-1" selected="true">Large print</option> <option value="option-2">Audio</option> <option>Electronic (Microsoft Word, PDF, HTML text)</option> </field> <field type="header" subtype="h1" label="Collection of Information" class="header"></field> <field type="paragraph" subtype="p" label="Personal information on this form is being collected in accordance with the Freedom of Information and Protection of Privacy Act and for the sole purpose of providing accessible formats and communication supports upon request. Questions can be addressed to Lisa Gaudet, PhD, CMMA, Deputy City Manager, at accessibility@dauphin.ca or 204-622-3221." class="paragraph"></field> </fields> </form-template> Submit Submitting...