HomeMy WebLinkAboutForm 5 - Candidate Information Fillable.21FORM 5 Candidate Information
Local Authorities Election Act
Section 27)
Note:The personal information on this form is being collected to support the administrative requirements of the local authorities election process and
is authorized under section 27 of the Local Authorities Election Act and section 33(c)of the Freedom of Information and Protection of Privacy Act.The
personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act.If you
have any questions concerning the collection of this personal information,please contact
Executive Assistant 403-794-2319
Title of the Responsible Official Business Phone Number
Candidate's Full Name
Candidate's Address and Postal Code
Address of place(s)where candidate records are maintained
Name(s)and address(es)of financial institutions where campaign contributions will be deposited (if
applicable)
Name(s)of signing authorities for each depository listed above (if applicable)
Where there is any change in the above mentioned information, the candidate shall notify the local
jurisdiction in writing within 48 hours of such changes by submitting a completed information form.
LGS12180 Rev.2019-03