TABLEAU CONDOMINIUMS – 125 PETER STREET, TORONTO
PERSONS REQUIRING SPECIAL ASSISTANCE INFORMATION FORM
Please Complete and Return this Form to Property Management as soon as possible.
NAME:
________________________________ _____ TELEPHONE: _____________________
ADDRESS: _______________________________________________________________________
UNIT/SUITE #: _____________
As required in the condominium corporation’s Fire Safety Plan, and in order to ensure the safety of
all residents during any emergency in the Building or at this Site, we are asking for your co-operation.
If you have any person residing in your unit/suite who would require special assistance during
evacuation or any emergency, please fill in the information on this form below.
All information received is kept in strict confidence and used only by authorized persons in case of an
emergency.
Brief description (i.e. difficulty walking, special breathing apparatus, bedridden, sprains/fractures,
hearing/visually impaired). Please print.
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Date Completed ______________________ Resident Signature ________________________________
Please Complete and Return this Form to Onsite Property Management Office
Or, mail to Property Management, 125 Peter Street, Toronto ON M5V 0M2
Or leave with the Concierge