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Request to Correct Personal Information

 

If you have questions about filling out this form, please contact the FOIP Head at 403-529-8280 or FOIP@medicinehat.ca.

You can correct information in many cases without making a request under the Freedom of Information and Protection of Privacy Act (the FOIP Act). To determine whether you need to make a request under the Act or if you need help completing the form, contact the FOIP Head at 403-529-8280 or FOIP@medicinehat.ca.

About you

 

About your Request

 

1. Whose information do you want to correct
 

About the information you want to correct

 

2. Whose information do you want to correct?

Your personal information

If you want your information to be corrected, you will have to provide proof of your identity.

Another person’s information

If you want the information of another person to be corrected, you will have to provide proof that you have the authority to act for that person. For example, you might provide proof that you are the person’s guardian or trustee or that you have power of attorney for the person

 

Please attach any documents that support your request.

File Uploads: A file over 10MB in size will not be accepted. Please resize or lower the quality of the file prior to upload.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Your signature

 

Personal information is collected for the purpose of processing your access to information request and will be used to contact you regarding your request. Collection is authorized under section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and is managed and protected in accordance with the Act. Questions about the collection, please contact the FOIP Head of Local Body, 3rd Floor, City Hall, 580 First Street SE, Medicine Hat, Alberta T1A 8E6, 403-529-8280.

By submitting this application/form you acknowledge and agree that any electronic signature provided by you herein is the same as a handwritten signature for the purposes of legality, validity, enforceability, and admissibility.

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