Part 1 -Privacy Complaint
Provide as much detail as possible about the complaint:
| Type | |
| Size | 128 KB |
Referenced from: Access to Information and Protection of Personal Information Policy
Document text
Section titled “Document text”Part 1 -Privacy Complaint
Section titled “Part 1 -Privacy Complaint”-
Breach of personal privacy
-
Other
Part 2 - Complainant’s Information
Section titled “Part 2 - Complainant’s Information”Family Name *
First and middle name(s) *
Unit/Apt.no
Street no. *
Street name *
PO Box
City *
Province *
Postal Code *
Home phone no.
Work phone no.
Cell phone no.
E-mail address
Part 3 - Description of the Complaint
Section titled “Part 3 - Description of the Complaint”Provide as much detail as possible about the complaint:
a) Date or time period ___________________ (yyyy/mm/dd) to __________________ (yyyy/mm/dd ) *
-
b) Faculty, service, or department involved): *
-
c) Persons Involved: *
-
d) Description: *
Part 4 - Expected Outcome
Section titled “Part 4 - Expected Outcome”Briefly describe your expectations as to the outcome of the complaint:
________________________________________________________
________________________________________________________
Signature
Date (yyyy/mm/dd)
* REQUIRED FIELD
Section titled “* REQUIRED FIELD”PLEASE SEND YOUR COMPLETED FORM TO THE ADDRESS ABOVE. THANK YOU.
Section titled “PLEASE SEND YOUR COMPLETED FORM TO THE ADDRESS ABOVE. THANK YOU.”The personal information requested on this form is collected under the authority of Section 31(c) of the PEI Freedom of Information and Protection of Privacy Act. It will be used for the purpose of responding to and investigating privacy complaints. Quest ions about the collection or use of this information should be directed to Holland College’s Chief Privacy Officer at privacy@hollandcollege.com or 902-566-9542, 140 Weymouth Street, Charlottetown, PE, C1A 4Z1.
Office of the Chief Privacy Officer 140 Weymouth St. Charlottetown, PE C1A 4Z1
Privacy Complaint Form
Section titled “Privacy Complaint Form”Source: https://sam.hollandcollege.com/shared/QMS/Forms/QF151-200/QF176.pdf