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Submit online:

Our online forms are currently under maintenance and not available at this time. We expect to have them available in the next 48 hours. We apologize for any inconvenience in the meantime.

File an appeal and pay fees 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/2003/08/2021-request.pdf
    Request Form (FIPPA/MFIPPA)
    Aug 07 2003
    Topic: Access Request Process Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/2022/07/fippa-mfippa-appeal-form.pdf
    Appeal Form (FIPPA/MFIPPA)
    Jul 06 2022
    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/2019/12/2022-fippa-mfippa-privacy-complaint-form-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
  •   
    https://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/2019/12/2022-phipa-access-correction-form.pdf
    Access/Correction Complaint Form (PHIPA)
    Dec 31 2019
    Topic: Access | Health | Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/2017/02/2022-phipa-collection-use-disclosure-complaint-form.pdf
    Collection, Use and Disclosure Complaint Form (PHIPA)
    Feb 28 2017
    Topic: Health | Privacy Type: Forms
  •   
    https://www.ipc.on.ca/wp-content/uploads/2019/12/2022-access-correction-form_partx-cyfsa.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/2020/01/2022-cyfsa-privacy_complaint.pdf
    Form to file a privacy complaint under the Child, Youth and Family Services Act (CYFSA)
    Jan 15 2020
    Topic: Privacy Type: Cyfsa Faq | Forms

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