Required fields are marked with asterisks (*)

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 of $250.00 plus HST is required before a genealogical search can be completed for you. This fee can be paid in person via debit or cheque or online via credit card. A 3% convenience fee applies to all payments made online.

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 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.

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