American Sign Language (ASL) version of the Canadian Heritage accessibility form
On this page, you will find videos of interpreters signing in American Sign Language (ASL). For this reason, close captioning is not available. ASL is the first language of many deaf Canadians. The first video is the Canadian Heritage Accessibility Feedback Form in ASL. The second video is the form’s privacy statement in ASL. People can also provide feedback in ASL by using
Video Relay Service. Canadian Heritage accessibility feedback form in
Transcript of Canadian Heritage Accessibility Feedback Form in American Sign Language
Transcript of the video "Canadian Heritage Accessibility Feedback Form in
If you want to provide feedback in American Sign Language (ASL), you can view the ASL version of this page. You can use
Video Relay Service (ASL or langue des signes québécoise) or call our TTY at 1-888-997-3123 to provide feedback.
Please refrain from including any personal or sensitive information about yourself or others when submitting your feedback.
If you wish to remain
fully anonymous, do not fill out section 6 of the questionnaire below. Note that we will not be able to follow up with you but will still report on how we have handled that feedback. If you wish to remain
anonymous but receive a follow-up, you may fill out section 6. Note that we will not share your name or email with anyone.
What do you want to provide feedback on? (Choice: accessibility barrier or Canadian Heritage Accessibility Plan 2023-2025)
Type of accessibility barrier and/or area of the plan for which you would like to provide comments:
Physical and architectural (doorknob, ramp, elevator, etc.)
Employment (for example, recruitment processes)
Technological (websites, software applications)
Attitudinal (biases, microaggressions, related to my mental health, etc.)
Information and communication (forms, plain language, bilingualism)
Systemic (exclusion from events, policies, procedures, etc.)
Other, please specify:
Without providing information that could identify a person, please describe the barrier or provide your comments. Would you like to be contacted for follow-up? (yes/no)
Would you like to subscribe to our newsletter and be consulted on Canadian Heritage accessibility plans, reports and other initiatives related to accessibility and disability inclusion?
If you answered yes to question(s) 4 and/or 5, please provide your name and email address.
The form’s privacy statement in
Transcript of The form’s privacy statement in American Sign Language
Transcript of the video "The form’s privacy statement in
The collection of personal information is authorized by
sections 7(1)(a) and 70 of the . This personal information is collected by the Accessibility Office to comply with the Accessible Canada Act Accessible Canada Act by creating a mechanism to collect feedback and be able to respond back to the individual and acknowledge that their feedback has been collected and how it was handled. Collection and use of this personal information is in accordance with the . The mechanism is used to collect feedback internally and externally on our Accessibility Plan, future progress reports, as well as accessibility and barriers to accessibility within the work carried out in each department. The personal information collected is described in Privacy Act Personal Information Bank PSU 938 – Outreach Activities and will be retained for 7 years. Under the you have the right of access to, and correction of, your personal information. To exercise either of these rights, Privacy Act contact Canadian Heritage’s Access to Information and Privacy (ATIP) Coordinator. If you are not satisfied with Canadian Heritage’s response to your privacy concern, you may wish to contact the Office of the Privacy Commissioner of Canada by email or by telephone at 1-800-282-1376.