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Graffiti Removal Grant Application Form
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Graffiti Removal Grant Application Form
Graffiti Removal Grant Application Form
Applicant Information
Note: Applicant must be the registered property owner or an authorized commercial tenant.
Applicant Name
Name of Corporation or Partnership (if applicable) otherwise name(s) of Individual Owners.
Contact Name
(Required)
First
Last
Address of Property Affected by Graffiti
(Required)
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Primary Contact Phone
(Required)
Primary Contact Email
(Required)
Enter Email
Confirm Email
Ward Number
(Required)
Find your ward by visiting https://www.hamilton.ca/city-council/municipal-election/find-my-ward
Is the property a commercial building or a mixed-use building (e.g., commercial and residential)?
(Required)
Yes
No
Do you believe any graffiti incident related to this application was motivated by hate?
(Required)
Yes
No
Has the incident been reported to the Hamilton Police Service?
(Required)
Yes
No
Approximate date of graffiti incident
(Required)
Month
Day
Year
Number of graffiti incidents included in this application
(Required)
Maximum of 5 incidents per building per calendar year
Please enter a number from
1
to
5
.
Has a previous application for graffiti removal at this property been submitted under this program?
(Required)
Yes
No
Please provide the file number(s)
Incident #1 file number
(Required)
Incident #2 file number
Incident #3 file number
Incident #4 file number
Additional Information
Who will be undertaking the graffiti removal?
(Required)
Self-removal
Third-party contractor
Is the graffiti subject of a Property Standards order?
(Required)
Yes
No
Photo Upload
(Required)
Upload a digital photograph(s) of the graffiti incident(s) included in this application. Ensure the image clearly shows the affected building and its location, and contains metadata confirming the date the photo was taken
Drop files here or
Select files
Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 50 MB.
Date the uploaded photo of the graffiti incident(s) was taken
(Required)
Month
Day
Year
Proof of property ownership or commercial tenancy for the subject building
(Required)
Acceptable documentation may include, but is not limited to, a signed and active lease agreement or a recent property tax bill. Final determination of acceptable documents is at the discretion of the City of Hamilton.
Drop files here or
Select files
Max. file size: 50 MB.
Consent
(Required)
I, the applicant, confirm that I am not the party responsible for the graffiti incident included in this application. I authorize and consent to the use and disclosure of any information, including personal information, collected for the purpose of processing this application. I also permit the City of Hamilton to use photographs of the property in promotional materials. I certify that all information provided in this application is true and accurate.
I agree
Signature
(Required)
Date
(Required)
Month
Day
Year
