Right to Information and Protection of Privacy Act (RTIPPA): Right to Information Request Form

Note: Personal information collected on this form is protected under the provisions of the Right to Information and Protection of Privacy Act. All personal information collected on this form will only be used to respond to your request.

* indicates a required field

About You

Title

First Name *

Last Name *

Company or Organization: Please enter not applicable if this field is not applicable.

Company or Organization Represented *

Mailing Address *

City *

Province *

Postal Code *

Country *

Daytime Phone Number *

Alternative Phone Number

Email *

About Your Request

This form is being used for *

Department/Unit that has custody of the record

Record(s) you wish to access (Provide as much detail as possible) *

Note: University Secretariat staff may contact you for clarification if more detailed information is needed to process your request.

For what dates are you requesting the information? *: From To

How would you prefer to receive the records requested? *

Method to receive copies

Request Confirmation

By filling in your name below and clicking 'Send Request' you are signifying that you are submitting a request for information relating to the public business of UNB or a request for your own personal information under the Right to Information and Protection of Privacy Act. Please confirm your request by typing in your name in the field below.

Full Name *

Date *