PO box 41146
Ottawa, ON, K1G 1A4
INFO-Line: 2-1-1 or 613-241-4636
Administration: 613-683-5400
Fax: 613-761-9077
211 Template Record
Review Information For Record:
Parent Name of the organization, If applicable, provide the names of each level of your organization (Level 1 to 5); ex: organization name, branch, program, etc...
We appreciate your time and efforts in keeping the database current. The information you submit will be reviewed by Community Information Centre of Ottawa
You can contact us or submit changes to this information:
- By Mail at:
c/o 211 Ottawa
PO Box 41146
1910 St Laurent Blvd
Ottawa, ON K1G 1A4
- By Phone at: 613-241-4636
- By Fax at: 613-761-9077
- By Email at:
- Online using the Feedback option at:
If you do not have enough room on the form below to make the necessary changes, you may include additional pages.
NotesComments - Public / Important comments for the public that are not mentioned in the description field. Information that might be time-sensitive or that needs to be noted prior to looking through the record.
Names
Org Level 1 / Parent Name of the organization
Org Level 2 / If applicable, provide the names of each level of your organization (Level 1 to 5); ex: organization name, branch, program, etc...
Org Level 3
Org Level 4
Org Level 5
Legal Name / Official / Legal Name of the organization if different from Org Level 1
Alternate Name / Alternate Names, accronyms used to describe this organization, keywords that public users may use to look for this organization ; ex: Template for New Record
Location & Accessibility
Address / Unknown; please provide the site address
Ward
Site Location / Only used to specify a location (ex: Across the street from the mall, At the back of the building)
Intersection / Main intersection
Located In Community / Ottawa
Mailing Address / c/o c/o Provide ONLY if different from the site address
Bus Route Notes / Links to public transportation, where available, are entered by the 211 Data Editor
Parking / Unknown; Is there parking available at your establishment? Please provide detailed information. ex: Free parking OR Pay parking lot OR Free occasional parking on the street etc...
Transportation / Unknown; Is transportation offered in certain circumstances? Bus tickets for low income individuals?
Accessibility / Unknown; Full accessible means wheelchair accessibility for the building (elevator), accessible parking AND washrooms. If "Partially Accessible", please be specific in listing limitations (ex: no elevator AND/OR washroom AND/OR parking OR "call ahead to make arrangements")
Contact Information
Social Media
Office Phone / Unknown, main number to reach this organization/program contact
TDD/TTY Phone / Unknown; is a TeleTypewriter (text telephone) line available?
Toll Free Phone / Unknown, is a Toll Free number available?
Crisis Phone / Unknown; is there a phone line dedicated to emergencies?
After Hours Phone / Unknown; is there a different after hours phone line to use? (not for emergencies)
Fax / Unknown; is a there a fax number available? If same as Office Phone, please specify; ex: (call before)
E-mail /
Update E-mail (Private) /
Website /
Primary Contact / Name: / Unknown; Who is themain contact person for this program?
Title:
Organization:
Phone #1:
Phone #2:
Phone #3:
Fax:
Email:
Alternate Contact / Name: / Is there an alternate contact person?
Title:
Organization:
Phone #1:
Phone #2:
Phone #3:
Fax:
Email:
Volunteer Coordinator / Name: / Is there a coordinator for volunteers?
Title:
Organization:
Phone #1:
Phone #2:
Phone #3:
Fax:
Email:
Primary Executive / Name: / Unknown; Who is the chief executive of this organization, program or service?
Title:
Organization:
Phone #1:
Phone #2:
Phone #3:
Fax:
Email:
Alternate Executive / Name: / Is there an alternate executive?
Title:
Organization:
Phone #1:
Phone #2:
Phone #3:
Fax:
Email:
Description and Services
Hours / Unknown; Provide administration hours, service availability ex: Mon-Sun 24 hr service, etc
Dates / Unknown; Are you closed on statutory holidays? Closed during a period of the year? Please provide details.
Meetings / Unknown; Are there regular meetings for the public? Information sessions, regular group meetings, etc.
Description / Unknown; Provide a full description of your organization with all available services. Please avoid promotional language, historic details, repetition of any information already contained in another field. Ideally, the description should contain a general statement (ex: Retirement home) and a list of services offered with brief descriptions. Capacity and licensing details are also accepted in this field. (ex: Licensed child care services, capacity for 32 children)
Supplementary Description
Waiting List / Unknown; Is there a waiting list to obtain services?
Accreditation / Unknown; Is your organization accredited by any body of the government? Please specify the accreditation body or enter "No".
Eligibility / Unknown, specify eligibility criteria to access the services, if criteria varies between programs, separate program records may be created for each program.
Application / Unknown; Are there specific instructions for people to follow to access services?
Fees / Unknown; Are there any fees for your services? Amounts are not required, just specify programs or services that have applicable fees. Notes can be added to specify basic details relevant to fees.
Languages of Service / Unknown; If your organization is fully bilingual, just check both languages. Are services and/or staff is limited in either language, please provide such details: Days of the week when bilingual staff are available, etc.
Areas Served / Unknown; Community where service is offered.
Boundaries / Unknown; Please specify any boundaries that apply to your services Example: North of Baseline OR East of Parkdale, West of Kirkwood OR postal codes, etc.
Other Details
Record Type / (O) Organization
Print Material / Unknown; Is there any printed material available that talks about your organization, programs and services?
Resources / Unknown; What resources does your organization/program make available? Ex: Website, subject specific library, free Internet access, etc.
Established / Unknown; what year was this oganization/program established?
Elections / Unknown; How is this organization governed? Is there a board of directors? Are they elected or nominated?
Funding / Unknown; If funding is provided from a Federal, Provincial or Municipal source, please specify the program or the ministry, etc.
Legal Status / (50) Non Profit ; (51) Registered Charity
Publication: Blue Book
Address Block
About You
Your NameYour Email
Your Phone
Your Organization
Your Job Title / Position
Use of this Information
PLEASE SELECT ONE OF THE FOLLOWING OPTIONS:
I authorize this information for use as outlined in the Terms of Use policy.I authorize this information for use in telephone / in person inquiries only.
I cannot authorize this record at this time. Please contact me directly.
Signature ______
Important Notices: Copyright / Permission to Reproduce, Disclaimer
The Community Information Centre of Ottawa holds the intellectual property rights for the information in this printout. You may use this information for non-commercial, personal or educational purposes only. You must credit the Community Information Centre of Ottawa as the source on each copy of this information.
The Community Information Centre of Ottawa is committed to providing information that is accurate, up-to-date and comprehensive. The Community Information Centre of Ottawa cannot assume liability resulting from errors or omissions. Inclusion of a programme or service does not imply endorsement, nor does omission reflect on the contribution that an organization makes in a community. The reader should verify the information before acting on it. Questions or comments can be directed to the Community Information Centre of Ottawa.
Email:
Website:
Administration: 613-683-5400
Printed on: 5 Sep 2013