Complaint form - protection of personal information

Identification of applicant

Please note: This form is not intended to file a request for access or rectification, nor to request a review of the decision of such a request.

(Fields marked with an asterisk* are required)

Title

First name

Last name

Phone number

Company/Organization

Email

Apartment / Suite

Address

City

Postal code

Description of the complaint

(You must specify the personal information that is the subject of your complaint, the dates and locations of the events and the facts supporting the complaint).

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