Required fields are marked with asterisks (*)

Service Request/Report a Concern

Please complete the form below to request service or file a concern with the Township of Warwick. Please include as much detail as possible to ensure that your concern can be investigated promptly and accurately.

Personal information collected on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be kept in the strictest of confidence. Questions regarding the collection of this information should be directed to the Township office at 519-849-3926

Contact Details

First or Given Name

Last or Family Name

Primary Contact Number

Secondary Contact Number

Email Address

Street Number

Unit Number (if applicable)

Street Name

Town/City

PO Box

Request or Concern Details

Type of request or concern

Please provide a detailed description of the location or the address (if applicable)

Please describe your request or concern