Toggle navigation Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Privacy Complaint If you suspect a privacy violation, or that Personal Information (PI) or Personal Health Information (PHI) has been improperly collected, used, or disclosed by the Windsor-Essex County Health Unit, you have the right to file a complaint. Suspected or confirmed privacy incidents can be reported using the following webform. The submission will be sent directly to the Privacy Officer. It is your choice if you would like to remain anonymous or provide your name, as it is not a required form field. Only the Privacy Officer will be able to view your submission, and it will remain confidential unless you consent otherwise. By providing your name, it will allow the Privacy Officer to work with you to seek clarification and investigate any incidents further. If you are not satisfied with the response, and you wish to report it as a whistleblower, you can file a complaint with the Information and Privacy Commissioner of Ontario (IPC). (This question is mandatory) Would you like to submit your complaint anonymously? Yes No (This question is mandatory) Please provide your name. First Name: Last Name: (This question is mandatory) Phone enter and confirm your phone number. Please check the format of your answer. Please enter only number with no dashes in this field. Phone Number: Confirm Phone Number: Please enter only the 10 digits of your phone number with no spaces or dashes (e.g., 5555555555). (This question is mandatory) Please enter and confirm your email address. Please check the format of your answer. Email Address: Confirm Email Address: Type of violation: Choose one of the following answers Please choose... Collected without authority Lost information Stolen information Unauthorized disclosure Unauthorized use Other: Other: (This question is mandatory) Complaint: Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
