FORM: Contact WCC: Town of Sylvan Lake

Back to homepage
Back to homepage / Public Services
Back to homepage / Wellness & Community Connections
/ FORM: Contact WCC

Contact WCC

If you are experiencing a health or safety-related emergency, please dial 911.

Please complete this form if you need:
financial information
parenting supports
help with family violence or mental health
food
resources, or
support, such as medication, groceries, pet care, friendly caller services or pick-up/drop off services

Your confidential submission will be reviewed by a Town of Sylvan Lake FCSS Community Support Worker, and you will receive a response within 72 hours.

*This service is only available for Sylvan Lake residents

First Name *

Last Name *

Phone Number *

E-mail *

Address *

Are you submitting this request for someone else? *

Has the person you are submitting this request for given you permission to do so? *

Their First Name

Their Last Name

Their Phone Number

Their Address

Is the person needing help: *

An older adult (Ages 65+)

A child/youth (Ages 0-6)

A child/youth (Ages 7-13)

A child/youth (Ages 14-18)

An adult (Ages 19-64)

Looking for Resources? Check all that apply

Mental Health/Counselling Supports

Loneliness/Isolation Supports

Parenting Resources

Senior Resources

Activities for Children & Youth

Family Violence/Elder Abuse

Other (See Below)

Needing Assistance? Check all that apply

Financial Assistance Programs

Food (Pick Up/Drop Off)

Prescriptions (Pick Up/Drop Off)

Transportation

Deliveries (Pick Up/Drop Off other items)

Drive Through/Curbside services

Other (See below)

Do you have a request that is not on the above checklists? Please describe:

The personal information on this form is collected under the authority of Access to Information Act and Protection of Privacy Act and will be protected under the provisions of the Act. Personal information, such as names, will not be published unless express consent is provided. Contact information will be utilized to facilitate contact as indicated above. If you have any questions or concerns regarding the collection and/or use of this information, please contact the Records Clerk at 403 887 1185 Ext. 224.

Leave Blank

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.