Complaint form for the Assisted Human Reproduction Act
The information you provide in this complaint form, including personal informationFootnote i, is provided on a voluntary basis. The personal information is governed in accordance with the Privacy Act. We only collect the information we need to administer national compliance and enforcement activities under Health Canada's mandate authorized under the Assisted Human Reproduction Act (AHR Act) and its Regulations, including for investigations of offences under the AHR Act. Once collected, your personal information may be disclosed to the following entities: law enforcement (including, in particular, peace officers), other government institutions, as well as provincial, territorial, municipal governments or organizations, as well as their institutions, such as professional licensing or disciplinary bodies. In limited and specific circumstances, your personal information may be used and disclosed without your consent in accordance with subsection 8(2) of the Privacy Act.
Why are we collecting your personal information? We are requesting your personal information to be able to contact you for additional information regarding your complaint and/or for follow up, or for referral of your complaint to another organization outside Health Canada.
Will we use or share your personal information for any other reason? In limited and specific situations, your personal information may be disclosed without your consent in accordance with subsection 8(2) of the Privacy Act.
What happens if you do not want to provide your personal information? If you do not provide your personal information, in certain circumstances Health Canada may not be able to verify, follow-up or take action with respect to the complaint.
What are your rights? You have the right to access and request a correction and/or notation to your personal information. You also have a right to complain to the Privacy Commissioner of Canada if you feel your personal information has been handled improperly. For more information about these rights, or about how we handle your personal information, please contact the Biological Products Compliance Program at email@example.com
For more information: The collection of your personal information is described in Info Source at infosource.gc.ca.
Health Canada is committed to verifying complaints from Canadians and industry regarding materials, activities or any matters that are subject to the AHR Act, or its Regulations.
Materials subject to the AHR Act or its Regulations include, but are not limited to:
- Donor sperm and eggs used for the purpose of assisted human reproduction (AHR)
- In vitro embryos
Activities subject to the AHR Act or its Regulations include:
- Processing, distributing, making use of and importing donor sperm or eggs for the purpose of AHR
- Reimbursing sperm and egg donors for expenditures incurred in the course of donating
- Reimbursing surrogate mothers for expenditures incurred by her in relation to her surrogacy
- Reimbursing surrogate mothers for loss of work-related income incurred during her pregnancy
- Reimbursing persons for expenditures related to the maintenance or transport of an in vitro embryo
- Providing consent for the use of donated human reproductive material for the purpose of creating an embryo
- Footnote 1
Personal information is defined as information about an identifiable individual that is recorded in any form. Examples of personal information include an individual's name, address, postal code, race, religion, age, gender, date of birth, marital status, identifying numbers (e.g., Social Insurance Number), biometric information, genetic information, and personal opinions or views.
- Footnote 2
Include as much detail as possible when describing your problem or incident, for example information on what, when, where, who and how the problem or incident happened. Be sure to describe the AHR materials or activities to which your problem or incident pertains, as indicated above under "General Information."
- Footnote 3
A primary establishment is an establishment that conducts all processing activities in respect of sperm or ova, whether it conducts them itself or another establishment conducts any of the activities on its behalf.
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