Form Builder

Required fields are marked with asterisks (*)

Request a Certificate

Personal information submitted on this form is being collected under the Municipal Act, 2001 by The Corporation of the City of Stratford and will be used by the City. Questions about the use and collection of personal information are to be directed to the City Clerk, City Hall, P.O. Box 818, Stratford ON N5A 6W1 or by telephoning 519-271-0250 ext. 235 during business hours.

If you would like to request a certificate, please be sure to include all of the following details:

Recipient / Certificate Information

Type of certificate requested:

Name of recipient(s) - Please list one name per line:

Street# and name:

City and province:

Postal code:

Birthdate / Wedding date:

Date of celebration (if different)

Delivery option:

Pickup

Mailed to contact

Mailed to recipient

Contact Information

Your full name:

Your telephone number:

Your email address:

Your street# and name:

Your city and province:

Your postal code: