Request To Correct Personal Information

Personal information on this form is collected in accordance with New Brunswick’s Right to Information and Protection of Privacy Act (“Act”).

Instructions

About You - In this section of the form, please include:

• your last name, first name, and preferred title; the name of the company or organization you are representing, if applicable;
• your complete mailing address and daytime and evening telephone numbers so that the public body can contact you about the request; and
• a fax number or e-mail address, if any, where correspondence may be sent.

About Your Request

• Please check which person’s information you would like to correct.

About the Information You Want to Correct

• Please give your full name and any other names that you previously used and any identifying number that relates to the records in question.
• If you are requesting a correction to another person’s information, please attach proof that you can legally act for that person.  This authorization can be in the form of a signed letter, a Power of Attorney, or other legislated authorization.  Please see section 79 of the Act for more details.
• Please be specific as to what exactly needs to be corrected.  If you need more space, please continue your description on a separate sheet of paper and attach it to this form.

Fees

• There are no fees when making a request to correct personal information.