Public Health for New Businesses

Business Information

* Business name

Corporate name

* Phone
xxx-xxx-xxxx

* Email

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Business Location

* Address

* City Select City...Fort ErieGrimsbyLincolnNiagara FallsNiagara-on-the-LakePelhamPort ColborneSt. CatharinesThoroldWainfleetWellandWest Lincoln

* Location setting Commercial
Industrial

* Water supply Municipal
Private well / cistern
Regulated small drinking water system

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Operation Information

* Operation type New construction
Existing

* Business type Food premise
Personal service (such as manicure, hair or barbering, tattoo)
Public pool
Public spa / hot tub
Other

* Proposed opening date / commencement date

Owner Information

* Name

* Phone
xxx-xxx-xxxx

* Email

* Address

* City Select City...Fort ErieGrimsbyLincolnNiagara FallsNiagara-on-the-LakePelhamPort ColborneSt. CatharinesThoroldWainfleetWellandWest Lincoln

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email our Access and Privacy Office or call 905-980-6000 ext. 3779.