Personal Information Collection Statement

Provision of the information requested on this form is voluntary. We will use your personal information for the following purpose(s):

• The information is being collected to provide additional information requested by you and assists us in improving our Internet suite of products and services.

Authority to collect information contained on this form the purposes described above is provided under the authority of the Employment and Social Development Canada Act . Your personal information is administered under the federal Privacy Act , which states that you have the right to access your personal information and request changes to incorrect information. If you wish to avail yourself of this right or require clarification about this Statement, contact our Privacy Coordinator by calling 819-994-0416, or write to:

Access to Information and Privacy Coordinator
Phase IV, Level 1, Mail Stop 112
140 Promenade du Portage
Gatineau, Quebec K1A 0J9

The information collected on this form is described in Personal Information Bank PSU 914, and will be retained indefinitely.

For more information on privacy issues and the Privacy Act in general, consult the Office of the Privacy Commissioner website or call 1-800-282-1376.

We take our responsibility to safeguard your personal information, as required by the Privacy Act, very seriously, and therefore ask that you do not include sensitive personal information (such as your social insurance number, medical status, or details about your finances) in your message.

If after reading this statement, you prefer not to submit your comments on the Internet, use one of the following methods:

By Telephone: 1 800 O-Canada (1 800 622-6232)

TTY: 1-800-926-9105

In Person at one of our Service Canada Centres .