Playground Change Request Form

Your requested change will be judged based on Alberta Infrastructure and Transportation Guidelines and City of Edmonton supplementary guidelines.

Required fields are marked with an asterisk (*). This information is required to communicate with you if needed.

Contact Information

First Name

Last Name

Phone Number

Location of Playground

Select one

AddRemoveModify

Street/Avenue Address

LocationNear

Provide location details

From Street/Avenue

On Street/Avenue

To Street/Avenue

Provide location details

The playground is

Unit Number

House/Building Number

Street/Avenue

Travelling direction

Additional Info

Provide any additional notes or comments

Your name and address is collected in accordance with 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. Your name and address will be used to log the playground change request. If you have any questions about the collection and use of your personal information, contact the FOIP Manager at 780-496-8178, Office of the City Clerk, 3rd floor, City Hall, 1 Sir Winston Churchill Square, Edmonton Alberta T5J 2R7.

Online	Contact 311 Online

Phone	311
Fax	780-495-0330

Phone

311

Fax

780-495-0330

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Playground Change Request Form

Playground Request Form

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