Disclosure Request Form

Date

Name of Defendant

Telephone Number

Email Address

Mailing Address

Is the Defendant a Person or a Company?

Offence No. 1060 999 00

Court Appearance Date

Who is completing this request for disclosure?

Name of Requester: (if other than defendant requesting disclosure)

If you require specific information (evidence), please tell us here. Otherwise, you may leave the section blank:

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

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Situated two hours north of Toronto, Grey County offers beauty you can’t get in the city.

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