Your information

Last name (required)

First name (required)

Middle initial(s)

Preferred name

Address

Unit

City

Province

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)

Please note that email communication is optional and the security of email communication cannot be guaranteed.
Are you (check one):

Filing a complaint about a request for access or correction to your own personal informationThe substitute decision-maker (such as a parent or guardian) for someone who is filing a complaint about a request for access or correction to their personal information

Substitute decision-maker information
Skip this section if you are not a substitute decision-maker.

If you are a substitute decision-maker (such as a parent or guardian) making a complaint on behalf of someone else, please describe your role and explain your relationship. It may be necessary to provide documentation to prove you are authorized to act for the individual. Please attach this documentation if you have it.

Representative Information
Skip this section if you do not have a representative.

You may represent yourself in a complaint to the IPC, or have someone else (such as a lawyer or another person) represent you.

If someone is representing you, and you authorize that person to act on your behalf, and you consent to the IPC to contacting them (including through email) and exchanging information about this complaint, please fill out the contact information below.

Representative is a (check one):
LawyerOther person

Please provide your representative’s contact information

Last name

First name

Middle initial(s)

Preferred name

Address

Unit

City

Province

Postal code

Phone number

Email address

Service provider information
Note: a “service provider” is the organization (such as a children’s aid society) that holds the personal information that you have requested access or correction to.

Name of service provider this complaint is about

Name of contact person at service provider

Address

Unit

City

Province

Postal code

Phone number

Email address

Sharing your information

We would like to share your complaint with the service provider you have complained about, so the service provider understands the reasons for your complaint and the IPC can process your complaint.

By filing this complaint, you consent to share your name, this complaint form, and all attachments provided with this complaint form to all of the parties to this complaint (including the service provider).

If you do not consent to share your complaint information, please explain why below. We will consider whether we can properly address your complaint without sharing this information.

We may need additional personal information to process your complaint. Do you consent to the IPC looking at or asking for the personal information we need to process your complaint? (required)
YESNO

Details of your complaint

Please select all the boxes that explain why you are making the complaint:
It is more than 30 days since I made my request and I have not received a responseI made an urgent access request and the service provider refused to process my request in less than 30 daysThe service provider has refused to give me some or all of the information I asked for because it is “exempt” (link to FAQ on exemption or pop-up explainer) and I disagreeThe service provider told me that some or all of the requested records do not exist and I believe that more records do existThe service provider extended the time limit for responding to my request, and I disagree with the time extensionThe service provider said they would give me access to the records I requested but I have not received themThe service provider has refused to make corrections to my personal informationOther – please explain:

Have you communicated with the service provider about your complaint? If so, please explain.

Resolution of your complaint

Do you have a suggestion about how your complaint could be resolved?

In certain circumstances, the IPC will make an order to resolve a complaint. However, it is important to note that most complaints before the IPC are resolved informally and do not result in an order. The IPC can order a service provider to grant access to requested records, order a service provider to respond to an access request, etc.

The IPC cannot order disciplinary measures against employees of the service provider you are complaining about (such as requiring the service provider to fire an employee) or order it to pay you financial compensation (money).

Attachments

Attach the following documents (if you have them):
Copy of the requestCopy of the service provider’s decisionNo documents are availableDocuments proving you are a substitute decision-makerOther documents (please describe):

Attach: (10MB maximum)

Signature: (required)

Signature Date: (required)

(MM/DD/YYYY)

Submit the form:

Option 1:   Send this form now

What 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.