Please note: As a precautionary measure to keep the public and IPC staff safe during the COVID-19 outbreak, the Office of the Information and Privacy Commissioner of Ontario is physically closed. We continue to provide services to the public, public sector organizations, and the health and child and family services sectors. Despite our best efforts, there may be some delay in getting back to you. We will continue to evaluate the evolving situation and provide updates here and on Twitter @IPCinfoprivacy. You can also reach us at firstname.lastname@example.org.
Report a privacy breach at your organization
For use by the following organizations reporting a theft, loss or unauthorized use or disclosure of personal information or personal health information (as applicable) to the Information and Privacy Commissioner of Ontario (IPC):
- Health information custodians under the Personal Health Information Protection Act, 2004
- Service providers under Part X of the Child, Youth and Family Services Act, 2017
- Institutions under the Freedom of Information and Protection of Privacy Act or the Municipal Freedom of Information and Protection of Privacy Act
- Child and family service providers under the Child, Youth and Family Services Act
Important Note: Do not include any personal information or personal health information with this form.
The IPC recognizes that the investigation, containment, and remediation of this privacy breach may not be complete at the time this form is submitted. Please provide as much of the requested information as is presently known.
The IPC may request additional information after reviewing this form.
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