Request to Access Information through the Freedom of Information and Protection of Privacy (FOIP) Act.

Printable Form

Before completing this form, did you know you can have instant access to routinely available scientific/technical information at no cost from the Environmental Site Assessment Repository (ESAR)?

Alberta Environment and Park’s Environmental Site Assessment Repository (ESAR) system provides immediate free access to information on sites in Alberta where environmental assessments have been completed. ESAR integrates linkages with Land Titles data and mapping functions allowing users to enter criteria required for searching properties of interest in the ATS (MER-RGE-TWP-SEC-[QTR]-[LSD]) and PBL (PLAN-BLOCK-LOT) format.

You can access many Alberta Environment and Parks records without having to make a request under the Freedom of Information and Protection of Privacy (FOIP) Act. To determine whether you need to make a request under the Act or if you need help completing the form, please contact the Alberta Environment and Parks FOIP Office at 780-427-4429.

About You    - Help -
Title (optional) Last Name First Name
* *
Name of Company or Organization (if applicable)
Applicant Project Number (if applicable)
Mailing Address
Street Address City/Town/Village
* *
Province/State Country Postal/Zip Code
* * *
Phone Number Alternate Phone Number Fax Number
* ext.   ext.  
E-mail Address
*
Verify E-mail Address
*
About your request    - Help -
What kind of information do you want to access? *
You will receive a copy of the record.
About the information you want to access    - Help -
  1. What records do you want to access? Please give as much detail as possible.
    *
  2. What is the time period of the records? Please give specific dates. (see instructions for details.)
    *
Alberta Environment FOIP Form Identifying Search Criteria    - Help -
[eg: West of the 4th Meridian Range 25 Township 52 Section 10 Portion Southwest ¼]

West of the __th Meridan Range Township Section Portion
       

If you entered a Legal Land Description (LLD) above please enter a city in this field, if not please leave this field blank and proceed to enter a city in the civic or street address section:

Any further information:
Civic or Street Address    - Help -
[Example: 12345 – ABC Street, Edmonton] A street address is required for municipal locations

Address , City
Subdivision Plan    - Help -
Plan Block Lot
Name of Company (ies) and/or individuals associated with the site    - Help -
List current and previous owner(s) of the site


List current and former operators or occupants [including agents or managers] of the site
Other Particulars about the site    - Help -
[Agricultural land? Residential? Commercial? Industrial or other types of land use? Any current development on the site? Or has the land use changed?]
Disclosure of Applicants identity    - Help -
Please indicate whether you consent to the disclosure of your identity to third parties by selecting the appropriate box below.
Declaration    - Help -
I certify that I am,


*

Please enter your name if you're not the named individual or corporate body.
Surname:
Given Name:

I have the authority to submit this request for the individual or corporate body identified above. I understand that identifying myself as someone else constitutes fraud for which I may be prosecuted. I have read and understood this declaration and am providing Alberta Environment and Parks the noted certification and authorization.

NOTE: For the purposes of this request, "legal guardian" means a parent (for students under the age of 18), guardian or legal representative. Date: May 23, 2017

Alberta Environment and Parks
FOIP Office, Informatics
5th Floor, Great West Life
9920 - 108 Street
Edmonton, Alberta, T5K 2M4
FAX Number (780) 427-9838

If you require additional information or have any questions please call (780) 427-4429.

Image Verification    - Help -
Privacy Statement

The collection of personal information on this form is being managed in accordance with the Alberta Freedom of Information and Protection of Privacy (FOIP) Act. Section 7(1) stipulates the information and the manner of collection necessary for a public body to process your request for information as identified under Section 33(c) of the FOIP legislation. Contact information is provided for the purpose of processing your request for records within the custody and control of Alberta Environment and Sustainable Resource Development, including disclosing information in response to your request, and will not be used for any other purpose. Your personal information will not be shared with any other public body or agency without your specific written consent. For further details on how this information will be used, please contact the FOIP Office at (780) 427-4429.

On the following page please click on the Process Transaction button only once and allow up to one minute for the transaction to complete. Please do not click the 'back' button during or after the payment as this may result in double billing.
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