Right to Information and Protection of Privacy Act (RTIPPA): Personal Information Revision 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 Represented

Mailing Address *

City *

Province *

Postal Code *

Country *

Daytime Phone Number *

Alternative Phone Number

Email *

Requested Revision

Request for *: Correction of own personal information

Location of the personal information (where it is online or physical location)

Description of the personal information (what needs revised and why) *

Please be advised, you may be required to provide evidence that supports your revision request

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

Request Confirmation

By filling in your name below and clicking 'Send Request' you are signifying that you are submitting a revision request regarding your 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 *