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Required fields are marked with asterisks (*)

Organization Name

Flag Raising Request Form

Part 1: Organization Details

Organization Website

Organization Type

Part 2: Requestor Details

Full Name

Address (including Street address, City, Province, & Postal Code)

Phone Number

Part 3: Flag Raising Details

Requests for flag raisings will only be granted which are in alignment with Norwich Township Flag Protocol

Cause / Event commemoration to be proclaimed

Details of your organization's connections to Township of Norwich and/or Oxford County

Description of flag to be flown

Date the flag is to be raised

Date the flag is to be removed

Flag raisings are limited to a period of up to (1) one week.

If approved, the organization is responsible for delivering the Flag(s) to the Township of Norwich Operations Centre at least one week prior to the flying of the flag and to claim following the approved timeframe.

Please contact the Clerk’s Office at 519-667-2000 or email the Clerk’s Office (karmstrong@norwich.ca) if you have any questions or concerns. Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, as amended. Questions about the collection of personal information should be directed to the Clerk’s Office, Township of Norwich.