Personal information contained on this form is collected pursuant to Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of the Eyes on the Street Program. Only those staff involved in the program will have access to personal information. Personal information is stored in a password protected network. Questions about this collection should be directed to the City Clerk, One The Esplanade, Pickering, ON, L1V 6K7, 905.420.4611.