Culture Code Referrals Office

Submission Form

All fields with asterisks (*) are required fields. Upon clicking the “Submit” button at the bottom of the page, an email receipt will be automatically sent to the email address provided. Please contact contact@culturecode.ca if you do not receive a receipt within 1 hour of submission.

This submission will not be processed if it is incomplete. Once you have submitted your form by clicking the ‘Submit’ button at the bottom of the page you may save a copy to your computer. Manually emailed copies of this form will not be accepted.

General Information

* Referral type

* File Number(s)

* Project Name

* Project Location

* Project Description

* Government Statute(s)

* Preliminary engagement level

* Response Requested By

Applicant Information

* Name

* Email Address

Title

Organization

* Phone Number

Fax Number

* Street

* City

* Province

* Postal Code

Country

Proponent Information The applicant is the proponent

* Name

Email Address

Title

Organization

Phone Number

Fax Number

Street

City

Province

Postal Code

Country

Send notifications to the proponent

Spatial Footprint

Upload Spatial Files

Draw Footprint

Please attach a spatial data file that represents the footprint of the project area. Do not include other spatial areas like nearby rivers or roads in this file.

Add spatial filesSubmit spatial information in either KML/KMZ or shapefile format. If providing shapefiles, please zip (compress) contents into a single file, 'example projectxyzshape.zip'. Hold the ctrl key while selecting files to add more than one.

Supporting Documentation

Please attach any relevant supporting files.

Submit spatial information in either KML/KMZ or shapefile format. If providing a shapefile, please zip (compress) contents into a single file.

Add a supporting document

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