PIPEDA Complaint Form

You can view this form in:

• RTF format: This form can be opened in MS Word or WordPerfect. You might need to save the form on your computer before completing.
• PDF format: You might need to save the form on your computer before completing.

NOTE: This form has been revised for you to be able to fill it out electronically. However, we do not accept complaints by e-mail. Please complete, print and sign the form before mailing it to the following address:

Office of the Privacy Commissioner of Canada
Place de Ville, Tower B
3rd Floor
Ottawa, ON K1A 1H3
Fax: 613-947-6850
Inquiries: Toll Free #: 1-800-282-1376