Privacy Breach? Information for Organizations

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: notification@priv.gc.ca;
• By phone: 613-995-2042; or,
• By mail:
  
  Notification Officer
  Office of the Privacy Commissioner of Canada
  112 Kent Street
  Place de Ville
  Tower B, 3rd Floor
  Ottawa, Ontario
  K1A 1H3