Required fields are marked with asterisks (*)

Certificate Request Form

Please complete all fields of the form to ensure your certificate is completed and received ahead of your celebration.

Name of recipient(s)

Address of recipient(s)

Date of anniversary, birthday, etc. (yyyy/mm/dd)

Date of celebration (if different) (yyyy/mm/dd)

Please pick up certificate at the Municipal Office at 5280 Nauvoo Road, Watford during regular business hours.

Your name

Your telephone number

Your email

Freedom of Information:

Personal information on this form is collected under the authority of the Municipal Act and is maintained in accordance with the Municipal Freedom of Information and Protection and Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk's Department. The Township of Warwick is committed to providing accessible formats and communication supports for people with disabilities. If another format is required, please contact the Township's Clerk at 226-848-3926.