RZone incident reporting form

Complete this form to submit an incident report to the Municipality of Bluewater regarding violations of the RZone policy. The policy is available on the municipal website. Incidents must be reported within 24 hours.

Notice of collection and disclosure of information

Personal information on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of aggregate statistical reporting, to improve programs and customer service. Questions about the collection and disclosure of personal information can be directed to the Manager of Corporate Services, Municipality of Bluewater, 14 Mill Ave, Zurich N0M 2T0 or by phone at 519-236-4351.

Incident Information

Participants involved

Incident details

You have completed the required questions to submit an incident report. You may now submit your report for processing. The following questions will be compelted by staff as part of the review process.

Staff use only