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Accessibility for Ontarians with Disabilities Act Compliance Statement

The undersigned acknowledges that the work/services being performed on behalf of the Town of Aurora will be in accordance with the provisions and regulations of the Accessibility for Ontarians with Disabilities Act, 2005 (A.O.D.A.).

First Name

Last Name

Phone Number

Email Address

Role

Committee/Board Member

Contractor

Staff

Volunteer

By entering my initials below, I certify that this is an acceptable form of my signature.

For questions about this form please contact the Town of Aurora's Accessibility Advisor at (365) 500-3172 or accessibility@aurora.ca .