Alternate Format Request Form

ACTRA National is committed to providing accessible, quality services. Communications in alternate formats will be made available upon request within a reasonable period of time in a mutually agreed upon format. Upon completing and submitting this form, it will be sent to humanresources@actra.ca (if you input your E-mail address in the field below, a copy will also be sent to you).

Alternate Format Request Form

Name
First Last
Date of Request
MM slash DD slash YYYY
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
E-mail
Document/Communication Support Requested:
Preferred Format (select one):
Preferred Format (Other) – please specify:
Additional Comments :

If you have any questions or concerns about your submission, please contact:

Manager, Human Resources and Operations
ACTRA National
625 Church Street, Suite 300
Toronto, ON M4Y 2G1

Phone: 416-489-1311
E-mail: humanresources@actra.ca

We acknowledge that we live, work, meet and travel on the traditional territories of Indigenous Peoples that have cared for this land, now called Canada, since time immemorial. Read ACTRA's full Land Acknowledgement.