What type of information are you requesting?

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Subject that best describes your question

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First Name

Last Name

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Privacy Complaint

First Name

Last Name

Subject

Submitting a complaint about ICBC's Privacy Statement
Submitting a personal privacy complaint

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Please provide details of your complaint

Request Type

Access to general records (non-personal information)

Access to own personal information

Access to other's personal information by authorized party (must send appropriate consent/authorization)

Requester's Information

First name

Last name

Address

City

Province

Postal code

Phone number

Date of birth

mmm

yyyy

Email address

Confirm email address

Description of Records Requested

Please be as specific as possible to assist the search process by providing sufficient detail of the records being requested.
If you are requesting personal information, it is often necessary to match a unique identifier from the requested file(s). Please provide one unique identifier from the following, if applicable.

Claim number

Driver Licence Number

Employee Number

Other File Number/Identifier

Time Period of the Record(s)

From

mmm

yyyy

mmm

yyyy

Description of Record(s) - Please be clear & concise

You will receive an electronic copy of any applicable records by Canada EPost/Connect.

You will not receive an email copy of this submission. Please print a copy for your records.

Personal information on this form is collected under section 26 of the Freedom of Information and Protection of Privacy Act and will be used for the purpose of processing and responding to your request for records. If you have any questions, please contact Privacy & FOI at [email protected].

Access Request

Freedom of Information and Protection of Privacy Act

Ask a Question

Privacy Complaint

Requester's Information

Description of Records Requested