Request for Review by the Information and Privacy Commissioner

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Personal information on this form is collected in accordance with section 31 of the Freedom of Information and Protection of Privacy Act for the purpose of administering your complaint or request to review and to correspond and communicate with you. For further information about the collection of personal information, please contact the Commissioner at 902-368-4099 or infoprivacy@assembly.pe.ca.

Identification

First Name

Middle Initial

Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country

Telephone Number

For example 902-555-5555

Email Address

Please contact our office if we have not confirmed receipt of your request for review within one business day either by email at infoprivacy@assembly.pe.ca or by telephone at 902-368-4099.