Reporting breaches under PIPEDA
Privacy Breach Incident Report 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.
The purpose of the incident report form is to assist organizations in notifying OPC of any material breaches.
Privacy breach incidents can be reported as follows:
- By e-mail: email@example.com;
- By phone: (613) 947-1698; Toll-free: 1-800-282-1376; or,
- By mail:
Office of the Privacy Commissioner of Canada
112 Kent Street
Place de Ville
Tower B, 3rd Floor