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Notice of Personal Information Disclosure by a Public Sector Body (Form 6)

Public sector bodies use this form to notify (by mail to the last known address) individuals whose personal information has been disclosed due to potential risk of significant harm to the environment, health or safety of the public, or a specific group of people.

Use Form 6: Notice of Disclosure to notify someone that a public sector body has disclosed their personal information due to a potential risk of harm to others or the environment.

Help with the request

Information Access and Privacy Services can answer questions about the form.

Who can use this form

Members of a government department or public sector body need to use this form to notify someone that a public sector body has disclosed their personal information due to a potential risk of harm to others or the environment.

What you need to do

  1. Complete the form.
  2. Send the form by mail to the head of your public sector body for signature and approval.
  3. Send the form by mail to the person whose information you’ve disclosed.

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