Please note: As a precautionary measure to keep the public and all IPC staff safe during the COVID-19 outbreak, the Office of the Information and Privacy Commissioner of Ontario is closed. A limited number of staff will provide essential services only until the office reopens. We will continue to evaluate the evolving situation and provide updates here and on Twitter @IPCinfoprivacy.
Report a privacy breach at your organization
For use by the following organizations reporting a theft, loss or unauthorized use or disclosure of personal information or personal health information (as applicable) to the Information and Privacy Commissioner of Ontario (IPC):
Health information custodians under the Personal Health Information Protection Act, 2004
Service providers under Part X of the Child, Youth and Family Services Act, 2017
Institutions under the Freedom of Information and Protection of Privacy Act or the Municipal Freedom of Information and Protection of Privacy Act
Child and family service providers under the Child, Youth and Family Services Act
Important Note: Do not include any personal information or personal health information with this form.
The IPC recognizes that the investigation, containment, and remediation of this privacy breach may not be complete at the time this form is submitted. Please provide as much of the requested information as is presently known.
The IPC may request additional information after reviewing this form.