Customer Services Request Form

Do you have a service request or question for the council or staff of Westlock County? Simply fill out the form below and we will be sure to tend to your request at our earliest opportunity:

NOTE: For emergencies please call 911

Message Type *

First Name *

Last Name *

Rural Address

Legal Land Description

City/Town

Province

Phone Number *

Request / Question *

The personal information you provide is collected under the authority of the Access to Information Act and Part 1, Section 4, of the Protection of Privacy Act. The information you provide may be entered into a computerized automated system to generate content or make decisions, recommendations or predictions and will be used only for the purpose for which the information was collected. If you have any questions about the collection, use, and disclosure of information, please contact the Access to Information and Protection of Privacy Coordinator at Westlock County at 10336 – 106 Street, Westlock, Alberta, T7P 2G1 (780) 349-3346.

* - denotes required field