Application for Detouring onto a Regional Road

Applicant Information

* Name

* Permit issued to

* Address

* City / town

* Postal code

* Phone
xxx-xxx-xxxx

Ext.

Fax
xxx-xxx-xxxx

* Email

Road Closure Information

* Non-regional road to be closed

* City / town of closure Select City...Fort ErieGrimsbyLincolnNiagara FallsNiagara-on-the-LakePelhamPort ColborneSt. CatharinesThoroldWainfleetWellandWest Lincoln

* From road / street

* To road / street

* Nature of work

* Regional road to detour / divert traffic

* Commencement date

* Expected completion date

Supporting Documents

Attach any supporting documentation that is relevant. Only PDF, JPG, DOC(X), XLS(X), PNG, TXT files allowed only. No more than 5 MB file size, 10 MB total.

File 1

File 2

File 3

Application Guidelines

• A plan or sketch must accompany this application, showing details and the location of the proposed works (must show nearest intersection)
• A current certificate of liability insurance in the amount of at least $1,000,000 to $10,000,000 naming Niagara Region as an additional named insured. This certificate must accompany the application. The amount will be specified by the Region.
• Provide all related drawings and a signed Certificate of Insurance form by emailing roadpermits@niagararegion.ca specifying the permit type and applicant name in the subject line.

Notice of Collection

Any personal information or personal health information submitted will be collected, used, and disclosed, where applicable, by members of Regional staff according to the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. Any information you share will only be used for the intended purpose for which it was provided.

For questions or comments about privacy practices, or for more information about the administration of the Municipal Freedom of Information and Protection of Privacy Act in Niagara Region programs, see Freedom of Information and Open Government.