Lobbyist Registry

Step 1: Consultant Lobbyist Information

Mandatory fields are marked with a *

Prefix:

First Name: *

Initial:

Last Name: *

Suffix:

Position Title: *

Former senior public office holders are prohibited from lobbying public office holders for twelve (12) months after leaving elected office or a senior position at the City of Toronto or a local board of the City.

Has this lobbyist held a senior public office position with the City of Toronto in the past 12 months? *

Yes No

Street Address: *

Address Line 2:

Optional

City: *

Province: *

Country: *

Postal Code: *

Telephone: *

Fax:

Optional

Email: *

Step 2: Particulars of Lobbyist Firm

Mandatory fields are marked with a *

Business Name: *

Other Trade Name(s) Used:

Optional

Address same as Lobbyist? *

Yes No

Contact information same as Lobbyist? *

Yes No

Step 3: Delegate Designation

Mandatory fields are marked with a *

By designating a delegate, you authorize that person to enter and remove your data and information in the lobbyist registry system and to act as the contact person for issues arising from such entry and removal.

You agree that you will immediately update your lobbyist registration and submit a new Certification Form if your delegate changes or if you no longer use the services of a delegate.

You accept full responsibility for your delegate and any use of the lobbyist registry system under your User ID.

The designated delegate is not permitted to lobby public office holders unless also registered as an in-house lobbyist

Do you want to designate a delegate? *

Yes No

This entire form is not publicly disclosed.

Prefix:

First Name: *

Initial:

Last Name: *

Suffix:

Position Title: *

Telephone: *

Fax:

Optional

Email: *

Delegate's business/organization name and address are same as business/organization? *

Yes No

Consultant Lobbyist Registration

Step 1: Consultant Lobbyist Information

Step 2: Particulars of Lobbyist Firm

Step 3: Delegate Designation

Step 4: Optional Notes or Comments