Download the PDF version of this form You must have JavaScript enabled to use this form. The IPC’s purpose for reviewing privacy complaints made under the Municipal/Freedom of Information and Protection of Privacy Acts is primarily future-oriented. If the IPC decides to process a privacy complaint and it is established that there was a privacy breach, the IPC may make recommendations that assist the institution in taking remedial steps to prevent similar occurrences in the future.With limited exceptions, the IPC does not have the power to make an order against an institution as a result of a privacy breach. It cannot issue fines, award damages or require that an institution discipline its staff members.Based on the IPC’s purpose for reviewing privacy complaints and the IPC’s restricted mandate and powers in privacy matters, the IPC may decide not to review your privacy complaint. You will be advised in writing if the IPC decides not to review your complaint.File a Privacy Complaint under the Freedom of Information and Protection of Privacy Act (FIPPA) or the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)Note: Government organizations are referred to as an “institution” under the acts. The laws cover all ministries of the Ontario Government, and any agency, board, commission, corporation or other body designated as an "institution" in the regulations. MFIPPA covers all municipal corporations, including a metropolitan, district or regional municipality, local boards and commissions. Your Information Last name First name Middle initial(s) Preferred name Address Unit City Province - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince EdwardQuebecSaskatchewanYukon Postal Code If you consent to the IPC contacting you by phone including leaving a voicemail message, please provide your phone number. If you wish to communicate with the IPC by email, please provide your email address (required) ? Are you: Filing a privacy complaint about your own personal information representative A representative of someone who is filing a privacy complaint about their personal information Representative Information Representative is a: Lawyer Other person Name of company, association or organization Last name First name Middle initial(s) Preferred name Address Unit City Province - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Phone number Email address Skip this section if you are not represented.I authorize the following person to act on my behalf and to receive any personal information pertaining to me, as necessary to investigate this privacy complaint. Information about person or organization your complaint relates to Name of person or organization your complaint relates to Name of contact person at the organization, if applicable Address Unit City Province - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal code Phone number Email address File number for your complaint (if applicable) Consent to disclose your name to the institution the complaint is about Please select one of the following: I consent to my name being disclosed to the institution in order to investigate this complaint. I do not consent to my name being disclosed to the institution. Consent to provide a copy of documentation to the institution: I consent to a copy of this form and all attachments being provided to the institution. I do not consent to a copy of this form and all attachments being provided to the institution. Details of your complaint Please select all the boxes that explain why you are making the complaint: The institution the complaint relates to has inappropriately collected my personal information The institution the complaint relates to has inappropriately disclosed my personal information The institution the complaint relates to has inappropriately used my personal information The institution the complaint relates to has inappropriately disposed of my personal information Other… Enter other… Please provide a detailed description of your complaint. Your description should include the what, when, who, how, where and why of what happened. Resolution of your complaint How would you like to see your complaint resolved?With limited exceptions, the IPC does not have the power, under Ontario’s provincial and municipal privacy laws, to make an order against an institution. It cannot issue fines, award damages, or require that an institution discipline its staff members. Attachments Attachments One file only.100 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. The following documents have been attached (if applicable): Please attach any documents about your complaint. Option 1Send this form now.Option 2Print the form and email to @email or mail to:RegistrarInformation and Privacy Commissioner/Ontario1400-2 Bloor Street EastToronto, OntarioM4W 1A8What happens next? Someone from our intake team will contact you to discuss your complaint.Find out more about the complaint process.You can also contact our office by email at [email protected], by phone at 416-326-3333, toll-free at 1-800-387-0073 if you have questions. Leave this field blank
Download the PDF version of this form You must have JavaScript enabled to use this form. The IPC’s purpose for reviewing privacy complaints made under the Municipal/Freedom of Information and Protection of Privacy Acts is primarily future-oriented. If the IPC decides to process a privacy complaint and it is established that there was a privacy breach, the IPC may make recommendations that assist the institution in taking remedial steps to prevent similar occurrences in the future.With limited exceptions, the IPC does not have the power to make an order against an institution as a result of a privacy breach. It cannot issue fines, award damages or require that an institution discipline its staff members.Based on the IPC’s purpose for reviewing privacy complaints and the IPC’s restricted mandate and powers in privacy matters, the IPC may decide not to review your privacy complaint. You will be advised in writing if the IPC decides not to review your complaint.File a Privacy Complaint under the Freedom of Information and Protection of Privacy Act (FIPPA) or the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)Note: Government organizations are referred to as an “institution” under the acts. The laws cover all ministries of the Ontario Government, and any agency, board, commission, corporation or other body designated as an "institution" in the regulations. MFIPPA covers all municipal corporations, including a metropolitan, district or regional municipality, local boards and commissions. Your Information Last name First name Middle initial(s) Preferred name Address Unit City Province - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince EdwardQuebecSaskatchewanYukon Postal Code If you consent to the IPC contacting you by phone including leaving a voicemail message, please provide your phone number. If you wish to communicate with the IPC by email, please provide your email address (required) ? Are you: Filing a privacy complaint about your own personal information representative A representative of someone who is filing a privacy complaint about their personal information Representative Information Representative is a: Lawyer Other person Name of company, association or organization Last name First name Middle initial(s) Preferred name Address Unit City Province - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Phone number Email address Skip this section if you are not represented.I authorize the following person to act on my behalf and to receive any personal information pertaining to me, as necessary to investigate this privacy complaint. Information about person or organization your complaint relates to Name of person or organization your complaint relates to Name of contact person at the organization, if applicable Address Unit City Province - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal code Phone number Email address File number for your complaint (if applicable) Consent to disclose your name to the institution the complaint is about Please select one of the following: I consent to my name being disclosed to the institution in order to investigate this complaint. I do not consent to my name being disclosed to the institution. Consent to provide a copy of documentation to the institution: I consent to a copy of this form and all attachments being provided to the institution. I do not consent to a copy of this form and all attachments being provided to the institution. Details of your complaint Please select all the boxes that explain why you are making the complaint: The institution the complaint relates to has inappropriately collected my personal information The institution the complaint relates to has inappropriately disclosed my personal information The institution the complaint relates to has inappropriately used my personal information The institution the complaint relates to has inappropriately disposed of my personal information Other… Enter other… Please provide a detailed description of your complaint. Your description should include the what, when, who, how, where and why of what happened. Resolution of your complaint How would you like to see your complaint resolved?With limited exceptions, the IPC does not have the power, under Ontario’s provincial and municipal privacy laws, to make an order against an institution. It cannot issue fines, award damages, or require that an institution discipline its staff members. Attachments Attachments One file only.100 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. The following documents have been attached (if applicable): Please attach any documents about your complaint. Option 1Send this form now.Option 2Print the form and email to @email or mail to:RegistrarInformation and Privacy Commissioner/Ontario1400-2 Bloor Street EastToronto, OntarioM4W 1A8What happens next? Someone from our intake team will contact you to discuss your complaint.Find out more about the complaint process.You can also contact our office by email at [email protected], by phone at 416-326-3333, toll-free at 1-800-387-0073 if you have questions. Leave this field blank
