Share to Facebook Share to X Share to LinkedIn Share to Email Download the PDF version of this form You must have JavaScript enabled to use this form. Information message As of July 1, 2025, the IPC has new review powers under the Freedom of Information and Protection of Privacy Act or FIPPA that include making orders regarding institutions’ information practices. In addition, Institutions must notify the IPC of a breach if it is reasonable in the circumstances to believe that there is a real risk of significant harm to an individual, or in other prescribed circumstances. Such breaches must be reported to the IPC as soon as feasible after the head determines that the theft, loss or unauthorized use or disclosure has occurred.In these circumstances, the FIPPA Institution is also required to notify the individuals affected by the breach. Please note that if the Institution did not notify you that your personal information was involved in a privacy breach, and your complaint relates to an Institution under FIPPA, it may not be possible to process your complaint. You will be advised in writing if the IPC decides not to process your complaint.Equivalent amendments to the Municipal Freedom of Information and Protection of Privacy Act or MFIPPA were not introduced. It is important to note that, with limited exceptions, and in contrast to FIPPA, the IPC does not have the power to make an order against a municipal institution as a result of a privacy breach.Given the IPC’s restricted mandate and powers for privacy matters under MFIPPA, the IPC may decide not to process your privacy complaint. You will be advised in writing if the IPC decides not to process your complaint.Under FIPPA and MFIPPA, the IPC cannot issue fines or award damages. 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) 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 E-mail Address: E-mail Consent I consent to being contacted at this e-mail address or through that of my representative on my behalf. I acknowledge that sending e-mail over the internet may not be secure, in that it can be intercepted and/or manipulated and retransmitted. (required) Are you: Filing a privacy complaint about your own personal information Filing a privacy complaint about an institution’s information practices 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 the institution your complaint relates to Name of institution 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.* *Please note that if you do not provide consent for your name and a copy of this complaint form with all its attachments to be shared with the institution, it may not be possible to process your complaint. Notice of the breach The institution notified me that my personal information was involved in a privacy breach. I have included a copy of the notice I received from the institution. The institution did not notify me that my personal information was involved in a privacy breach.* * Please note that if the institution did not notify you that your personal information was involved in a privacy breach, and your complaint relates to an Institution under FIPPA, it may not be possible to process your complaint. Details of your complaint Please select all the boxes that explain why you are making the complaint: The institution has inappropriately collected my personal information The institution has inappropriately disclosed my personal information The institution has inappropriately used my personal information The institution has inappropriately disposed of my personal information Other… Enter other… I have reason to believe that one or more of the following has occurred: 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?Please note that the IPC cannot issue fines or award damages. 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 using the submit button below.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, by phone at 416-326-3333, toll-free at 1-800-387-0073 if you have questions. Leave this field blank
Share to Facebook Share to X Share to LinkedIn Share to Email Download the PDF version of this form You must have JavaScript enabled to use this form. Information message As of July 1, 2025, the IPC has new review powers under the Freedom of Information and Protection of Privacy Act or FIPPA that include making orders regarding institutions’ information practices. In addition, Institutions must notify the IPC of a breach if it is reasonable in the circumstances to believe that there is a real risk of significant harm to an individual, or in other prescribed circumstances. Such breaches must be reported to the IPC as soon as feasible after the head determines that the theft, loss or unauthorized use or disclosure has occurred.In these circumstances, the FIPPA Institution is also required to notify the individuals affected by the breach. Please note that if the Institution did not notify you that your personal information was involved in a privacy breach, and your complaint relates to an Institution under FIPPA, it may not be possible to process your complaint. You will be advised in writing if the IPC decides not to process your complaint.Equivalent amendments to the Municipal Freedom of Information and Protection of Privacy Act or MFIPPA were not introduced. It is important to note that, with limited exceptions, and in contrast to FIPPA, the IPC does not have the power to make an order against a municipal institution as a result of a privacy breach.Given the IPC’s restricted mandate and powers for privacy matters under MFIPPA, the IPC may decide not to process your privacy complaint. You will be advised in writing if the IPC decides not to process your complaint.Under FIPPA and MFIPPA, the IPC cannot issue fines or award damages. 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) 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 E-mail Address: E-mail Consent I consent to being contacted at this e-mail address or through that of my representative on my behalf. I acknowledge that sending e-mail over the internet may not be secure, in that it can be intercepted and/or manipulated and retransmitted. (required) Are you: Filing a privacy complaint about your own personal information Filing a privacy complaint about an institution’s information practices 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 the institution your complaint relates to Name of institution 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.* *Please note that if you do not provide consent for your name and a copy of this complaint form with all its attachments to be shared with the institution, it may not be possible to process your complaint. Notice of the breach The institution notified me that my personal information was involved in a privacy breach. I have included a copy of the notice I received from the institution. The institution did not notify me that my personal information was involved in a privacy breach.* * Please note that if the institution did not notify you that your personal information was involved in a privacy breach, and your complaint relates to an Institution under FIPPA, it may not be possible to process your complaint. Details of your complaint Please select all the boxes that explain why you are making the complaint: The institution has inappropriately collected my personal information The institution has inappropriately disclosed my personal information The institution has inappropriately used my personal information The institution has inappropriately disposed of my personal information Other… Enter other… I have reason to believe that one or more of the following has occurred: 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?Please note that the IPC cannot issue fines or award damages. 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 using the submit button below.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, by phone at 416-326-3333, toll-free at 1-800-387-0073 if you have questions. Leave this field blank
