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Printable Version

Personal Information Request Form


This form is being offered to you as an on-line service and is available to you in Rich Text (RTF) and Portable Document (PDF) formats.  More detailed instructions will also be offered on the form.

If you choose the RTF format, you will have two options for completing the form:

  1. Fill in the form on-screen and then print it for submission by mail;
  2. or print the form and fill in the fields by hand for submission by mail.

If you choose the PDF format, you must print the form and fill in the fields by hand for submission by mail.

If you require a reader to view the form, please go to the Adobe Acrobat Reader download page at http://www.adobe.com/products/acrobat/alternate.html.

Instructions for completing the form:

  1. Determine which federal government institution is most likely to have the information you are seeking.
  2. To apply for information under the Privacy Act, complete the Personal Information Request Form. Describe the information being sought and provide any relevant details necessary to help the institution find it. If you require assistance, refer to Info Source: Sources of Federal Government Information or Info Source: Sources of Federal Employee Information for a description of personal information banks (PIB) held by the institution or contact its Privacy Coordinator.
  3. Forward the access request to the Coordinator of the institution holding the information.

Report on the Access to Information Act  (TBS/SCT 350-58):

Technical Assistance

If you have problems accessing this form, please contact:

Corporate Communications
Treasury Board of Canada Secretariat
E-mail: tbs-sct@tbs-sct.gc.ca
Telephone: (613) 957-2400 or Toll free: 1-877-636-0656
TTY: (613) 957-9090
Fax: (613) 998-9071
Address: 10th Floor, West Tower
300 Laurier Avenue West
Ottawa, Ontario K1A 0G5