Please submit your completed form to the Town of Grimsby:
a) By Submitting this form Online; or
b) In the Mail Drop Box at the Town of Grimsby, Town Hall, 160 Livingston Ave., Grimsby ON L3M 4G3
**CAN ONLY BRING EVIDENCE USED IN SCREENING TO THE HEARING**
Personal Information contained on this form is collected and will be used for the purpose of administrating the City of Thorold's and the Town of Grimsby's Administrative Penalty process. Questions about this collection should be directed to the City Clerk at 905-227-6613 or the Town Clerk at 905-945-9634