Condition report

Please complete the following form and send it to us with as much detailed information as possible about the plaque in question.

Thank you.

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What's wrong with the plaque?

Check as many options as required

Do you have any photographs to support this condition report?

Personal information on this form is collected under the authority of the Ontario Heritage Act, R.S.O. 1990, C.O. 18, section 7, and will be used for marketing and fundraising purposes. This information will not be shared with other organizations. For further information, please contact the Executive Assistant, Ontario Heritage Trust, 10 Adelaide Street East, Toronto, Ontario, M5C 1J3, 647-567-9345. (Form will be sent to