Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Instructions

Note:

An appeal must be received by the Registrar within 30 days after the institution has given notice of its decision.
The government organization which dealt with your request is referred to as an "institution" under the Acts.

Fees

An appeal of a request made for access to a general record - $25
An appeal of a request for access to my own personal information - $10
An appeal of a request to correct my own personal information - $10
An appeal of a notice received that the institution intends to disclose a record/personal information that may relate to me. Free.

If fees are applicable, you will be redirected to our online payment page to submit your payment.

If your payment submission is successful, you will receive an email confirming your successful submission of your appeal with a PDF copy of your receipt attached.

If fees are not applicable, you will receive an email confirming your successful submission of your appeal.

Information about the Appeal Process

For more information about the processes of the Information and Privacy Commissioner of Ontario (IPC) and the Code of Procedure for appeals, please contact our office at:

Telephone: 416-326-3333
Toll-free: 1-800-387-0073
Website: www.ipc.on.ca

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Current Appellant
Representative
Documentation
Institution
Appeal
Declaration
Summary
Submit

Appellant Information

Are you appealing on behalf of a company, association or organization?(required)

Yes

Name of Company, Association or Organization(required)

Last Name/Single Name (legal name is required)

First Name (optional for single name appellant)

Middle Initials (optional)

Preferred Name (optional)

Preferred Pronoun (optional)

He/Him/His

She/Her/Hers

They/Them/Theirs

Other

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Current Appellant
Representative
Documentation
Institution
Appeal
Declaration
Summary
Submit

Appellant Information

Postal Code (A#A #A#)/Zip Code (AAAAA or AAAAA-AAAA) (required)

(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)

Unit Number (optional)

Street Number (required)

Street Name (required)

PO Box (optional)

City/Town (required)

Province/State (required)

Province

State

Country (required)

Telephone Number (required)

(Format: Must be 10 numbers)

Extension (optional)

Alternate Telephone Number (optional)

(Format: Must be 10 numbers)

Email Address (required)

(Example: name@example.com)

I consent to being contacted at this email address or through that of my representative on my behalf. Please note that email communication with the IPC is optional and the security of email communication cannot be guaranteed.

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Current Representative
Documentation
Institution
Appeal
Declaration
Summary
Submit

Representative Information

Are you authorizing a person to act on your behalf and to receive any personal information pertaining to you, as necessary for the purposes of this appeal?(required)

Yes

Representative is a: (required)

Laywer

Agent

Last Name (required)

First Name (required)

Middle Initials (optional)

Name of Company, Association or Organization(required)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Current Representative
Documentation
Institution
Appeal
Declaration
Summary
Submit

Representative Information

Postal Code (A#A #A#) (required)

(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)

Unit Number (optional)

Street Number (required)

Street Name (required)

PO Box (optional)

City/Town (required)

Province (required)

Telephone Number (required)

(Format: Must be 10 numbers)

Extension (optional)

Alternate Telephone Number (optional)

(Format: Must be 10 numbers)

Email Address (required)

(Example: name@example.com)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Representative
Current Documentation
Institution
Appeal
Declaration
Summary
Submit

Documentation

The following documents have been attached (if available):

Copy of the request.

Copy of the institution's decision letter.

Please note that failure to provide a copy of the access request and decision, may result in delays in the appeal process, including the inability to proceed with your appeal.

Please do not include records disclosed by the institution.

List of Attachments:

To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 8 MB.
To attach more files, click "Add Attachments ( + )"; to remove the last attached file, click "Delete ( - )".

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Representative
Documentation
Current Institution
Appeal
Declaration
Summary
Submit

Institution Information

Name of Institution(required)

Institution File Number (optional)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Representative
Documentation
Institution
Current Appeal
Declaration
Summary
Submit

Appeal Information

Appeal Type: (required)

I made a request for access to a general record.

I made a request for access to my own personal information.

I made a request to correct my own personal information.

I received a notice that the institution intends to disclose a record/personal information that may relate to me.

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Representative
Documentation
Institution
Current Appeal
Declaration
Summary
Submit

Appeal Information

Resolution of Appeal (required)

Please describe how you feel this appeal could be resolved.

Note: The IPC does not have the power to issue fines, award damages or tell an institution to discipline its staff members.

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Representative
Documentation
Institution
Current Appeal
Declaration
Summary
Submit

Appeal Information

Related Appeals (optional)

Please list any previous, or ongoing appeals you have with the Office of the Information and Privacy Commissioner of Ontario.

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Representative
Documentation
Institution
Appeal
Current Declaration
Summary
Submit

I certify that the information submitted in this appeal is true and correct to the best of my knowledge.

Confirmation: (required)

I have read and agree to the Declaration.

I acknowledge and agree that: (a) my appeal will be processed in accordance with the IPC’s Code of Procedure and Practice Directions for appeals under FIPPA and MFIPPA; and (b) I will cooperate fully with the IPC and provide responses to the IPC in accordance with any instructions or deadlines communicated to me.

Consent to provide a copy of documentation to the institution(required)

I consent to a copy of this form and all attachments being provided to the institution.

I do not consent to a copy of this form and all attachments being provided to the institution.

Name (First and Last Name) (required)

Date:

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

You must agree to the Declaration on the previous page to submit this form online.

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant
Representative
Documentation
Institution
Appeal
Declaration
Current Summary
Submit

Summary

Note: To make changes to the information below, please click the “Back” button (at the bottom of this page) to access previous pages or “Edit Section” to make corrections.

Appellant Information

Name of Company, Association or Organization:

Name (First Name, Initials, Last Name/Single Name):

Preferred Name:

Preferred Pronoun:

Mailing Address:

Telephone Number:

Alternate Telephone Number:

Email Address:

Representative Information

Representative is a:

Name (First Name, Initials, Last Name):

Name of Company, Association or Organization:

Mailing Address:

Telephone Numbers:

Alternate Telephone Number:

Email Address:

Documentation

The following documents have been attached:

Institution Information

Name of Institution:

Institution File Number:

Appeal Information

Appeal Type:

Details of the Appeal
(Selections that explain why the appeal is being made)

Resolution of Appeal
(Please describe how you feel this appeal could be resolved)

Related Appeals
(Please list any previous, or ongoing appeals you have with the Office of the Information and Privacy Commissioner of Ontario)

Declaration

I have read and agree to the Declaration.

Consent to provide a copy of documentation to the institution:

Name (First and Last Name):

Date:

Fees

We accept Visa, Visa Debit, Mastercard, Debit Mastercard and Interac® Online.

Amount:

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Instructions

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant Information

Business Contact

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appellant Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Representative Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Representative Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Documentation

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Institution Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Information

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Declaration

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Resolution of Appeal

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Summary

Appellant Information

Representative Information

Documentation

Institution Information

Appeal Information

Declaration

Fees

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA Freedom of Information and Protection of Privacy Act (FIPPA) Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)

Appeal Form under FIPPA and MFIPPA
Freedom of Information and Protection of Privacy Act (FIPPA)
Municipal Freedom of Information and Protection of Privacy Act (MFIPPA)