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Personal information contained on this form is collected by The Municipality of Chatham-Kent under the authority of the Municipal Act, 2001 and will be used by the Coordinator of Diversity, Equity, Inclusion and Justice for the purpose of sharing updates related to diversity, equity, inclusion, and justice in the Municipality of Chatham-Kent. Questions regarding the collection and use of this information may be directed to the Municipal Clerk, 315 King Street West, Chatham, ON N7M 5K8, or by telephone at 519.360.1998 or email to ckclerk@chatham-kent.ca.