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Section 1: Contact Information


Section 2: Supporting Documents

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Privacy Notification Statement

We are collecting your personal information under the authority of the City of Winnipeg Charter Act. This information will be used to administer Winnipeg Transit's Low Income Transit Pass Program and will not be used or disclosed for any other purposes, except as authorized by law. If you have any questions about the collection, use, or disclosure of your information, contact the Corporate Access and Privacy Officer by mail (City Clerk's Department, 510 Main Street, Winnipeg, R3B 1B9) or by telephone at 311.

Additional Notes

Please use this space to add any additional details or comments that may affect your eligibility.

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