<form-template> <fields> <field type="paragraph" subtype="p" label="The City of Dauphin is committed to providing accessible and inclusive municipal goods, services, programs, and facilities. Your feedback will help us to identify and remove barriers and support accessibility planning in our City spaces. If you would like to complete this form in an alternate format or with communication support, please call City Hall at 204-622-3200." class="paragraph"></field> <field type="textarea" required="true" label="Describe your accessibility concerns" class="form-control text-area" name="textarea-1727362886659"></field> <field type="textarea" label="Describe any suggested solutions" class="form-control text-area" name="textarea-1727362909401"></field> <field type="paragraph" subtype="p" label="If you would like to receive a response, please indicate your contact information:" class="paragraph"></field> <field type="text" subtype="text" label="Name" class="form-control text-input" name="text-1727362992307"></field> <field type="text" subtype="text" label="Mailing Address" class="form-control text-input" name="text-1727362990293"></field> <field type="text" subtype="text" label="Phone Number" class="form-control text-input" name="text-1727362987406"></field> <field type="text" subtype="text" label="Email Address" class="form-control text-input" name="text-1727362984422"></field> <field type="paragraph" subtype="p" label="Submit online or send the information by email to accessibility@dauphin.ca or by mail to: Lisa Gaudet, PhD, CMMA Deputy City Manager City of Dauphin 100 Main Street South Dauphin, MB R7N 1K3 " class="paragraph"></field> <field type="paragraph" subtype="p" label="Personal information on this form is being collected in accordance with the Freedom of Information and Protection of Privacy Act and for the sole purpose of providing a requested response to the submission of accessibility feedback. Questions can be addressed to Lisa Gaudet, PhD, CMMA, Deputy City Manager, at accessibility@dauphin.ca or 204-622-3221." class="paragraph"></field> </fields> </form-template> Submit Submitting...