Correction of Personal Information

Instructions:

This form is designed to assist you to submit a request for correction of personal information under the Freedom of Information and Protection of Privacy Act (FIPPA) if you believe there are errors or omissions.

Privacy Notice: The personal information on this form is collected by the City of Prince George for the purpose of assisting to resolve the correction of your personal information, under the authority of section(s) 26(c) and (d) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of information, please contact the Privacy Officer at 1100 Patricia Boulevard, Prince George, BC, by telephone 250-561-7600 or 311, or email privacy.office@princegeorge.ca.

Full Name

Phone

Mailing Address

City/Town

Province

Postal Code

Are you submitting this complaint on behalf of someone else?

Yes

Supporting Documents

If you checked “on behalf of another individual”, please attach supporting documentation proving you have the authority or consent of that individual to act on their behalf.

Maximum 3 files.
64 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Which department/division does your complaint concern?

Have you tried contacting anyone at the City to resolve your complaint?

Yes

Please list their names

Signature

Legal Name

Date

Agreement

I agree to and acknowledge all the terms of this application

Summarize your request for correction of personal information