Information and Privacy Commissioner of Ontario
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Forms

Submit online:

Report a privacy breach at your organization

File a complaint about an access or correction request to a Health Information Custodian

File a health information privacy complaint

File a privacy complaint about a provincial or municipal institution

File a privacy complaint about a child and family service provider

File a complaint about an access or correction request to a child and family service provider

Speaking engagement request

Download:

This post is also available in: French

  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/up-1request.pdf
    Request Form (FIPPA/MFIPPA)
    Aug 07 2003
    Topic: Access Request Process Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/appfrm-e-online.pdf
    Appeal Form (FIPPA/MFIPPA)
    Jul 19 2004
    Topic: Appeal Process Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/auth-appeal-e-frm.pdf
    Authorization to Act as an Agent for Appeal (FIPPA/MFIPPA)
    Jul 11 2005
    Topic: Appeal Process | Legislation Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/auth-phipa-e-frm.pdf
    Authorization to Act as an Agent For A Complaint under the Personal Health Information Protection Act
    Jul 11 2005
    Topic: Health | Legislation | Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/auth-priv-comp-e-frm.pdf
    Authorization to Act as an Agent for Privacy Complaint (FIPPA/MFIPPA)
    Dec 30 2002
    Topic: Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/indexrec-e.pdf
    Index of Records (FIPPA/MFIPPA)
    Sep 24 2003
    Topic: Access Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/cmpfrm-e.pdf
    Privacy Complaint Form (FIPPA/MFIPPA)
    Dec 31 2019
    Topic: Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/up-phipa_accfrm_e.pdf
    Request to Access Personal Health Information (PHIPA)
    Jan 01 2005
    Topic: Access | Access Request Process | Health Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/up-phipa_corrfrm_e.pdf
    Request to Correct Personal Health Information (PHIPA)
    Oct 03 2005
    Topic: Health Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/form-1me.pdf
    Research Agreement (MFIPPA)
    Sep 12 2002
    Topic: Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/Resources/form-1pe.pdf
    Research Agreement (FIPPA)
    Sep 12 2002
    Topic: Privacy Type: Forms
  •   
    http://www.ipc.on.ca/wp-content/uploads/2020/10/2020-speaking-engagement-request-form.pdf
    Speaking Engagement Request Form
    Aug 19 2016
  •   
    https://www.ipc.on.ca/wp-content/uploads/2017/02/2017-phipa-acccmp-e.pdf
    Access/Correction Complaint Form (PHIPA)
    Dec 31 2019
    Topic: Access | Health | Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/2017/02/2017-phipa-cudfrm-e.pdf
    Collection, Use and Disclosure Complaint Form (PHIPA)
    Feb 28 2017
    Topic: Health | Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/2019/12/2019-access-correction-form_partx.pdf
    Access and Correction Form under CYFSA
    Dec 31 2019
    Topic: Access | Access Request Process | Youth Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/2020/01/2020-cyfsa-privacy_complaint.pdf
    Form to file a privacy complaint under the CYFSA
    Jan 15 2020
    Topic: Privacy | Youth Type: Forms

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Information and Privacy Commissioner of Ontario
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2 Bloor Street East, Suite 1400 Toronto, ON M4W 1A8

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