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Privacy Complaint Form

The City takes its responsibility for the protection of personal information seriously. City staff will only collect, use and disclose your personal information to provide City services. If you have a specific concern about the collection or use of personal information at the City, complete the form below and City staff will respond to your concerns as soon as possible in accordance with the City's Privacy Breach Response Policy.

Please include as much detail as possible to allow staff to investigate and respond to your concern, as appropriate.

Last Name

First Name

Address

City/Town

Province

Postal Code

Telephone

Email Address

Details of Complaint (e.g. date/time, facility, method, information involved, etc.)

City staff will contact you as soon as possible to discuss your concern and attempt a resolution, if applicable. If you are not satisfied with the City's efforts to resolve the concern, contact the Information and Privacy Commissioner of Ontario.

This form may contain personal information as defined under the Municipal Freedom of Information and Protection of Privacy Act. This information is collected under the legal authority of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used and maintained by the City of Oshawa to review and respond to the complaint. Questions regarding this collection may be directed to the City’s Information Access and Privacy Officer at 905-436-3311.