Form Builder

Genealogy Research Request

Note: The Clerk's Department receives many requests to perform genealogical searches for family and friends. Within the requirements of the Freedom of Information Act, staff can search through old cemetery archives to provide available information to the person making the request.

Fee: A fee may be required before a genealogical search can be completed for you. An estimate will be provided to you upon receipt of this form before any search is conducted.

Requestor Information

First Name

Last Name

Phone Number

Email Address

Address

City/Province

Postal Code

Deceased Individual Information

First Name of Deceased Individual

Middle Name or Initial of Deceased Individual

Last Name of Deceased Individual

Please select the cemetery you believe the deceased to be buried at (if unsure, select N/A)

Please provide any other identifying information you think may assist in the search

Privacy Statement: Personal information on this form is collected under the authority of the Municipal Act 2001 P.S.O. c45. This information will only be used by authorized staff to conduct genealogical research per your request. Questions about the collection of this information can be directed to the Manager of Legislative Services/Clerk, Municipality of Leamington, 111 Erie Street North, ON N8H 2Z9. 519-326-5761.

Contact(s)

Form Builder

Genealogy Research Request

Requestor Information

Deceased Individual Information

I'd Like To...

Register

Apply

Pay For

Contact

Review