Consent to disclose and use personal Information (Form 4): FOIPOP requests

Give written permission for government departments or public sector bodies to disclose and use your personal information as requested under the Freedom of Information and Protection of Privacy (FOIPOP) Act. Public sector bodies can use program-specific consent forms if they choose.

Use Form 4: Consent to Use of Personal Information to give your permission to have government departments or public sector bodies disclose and use your personal information as requested under the Freedom of Information and Protection of Privacy (FOIPOP) Act. Or use the form as an example and prepare your own documents. If you prepare your own, you need to include all details outlined on the form.

Disclosing information

The government and public sector can only disclose and use information for the specific purposes you’ve agreed to.

Help with the request

Information Access and Privacy Services can answer questions about the application process, help identify what information is held by which public sector body, or let you know if you should try contacting the relevant service directly instead of submitting a formal request.

Who can use this form

You can use this form if you want to give permission to have government departments or public sector bodies disclose and use your personal information. You can use this form with any government department or public sector body within the province.

What you need to do

  1. Government department or public sector body lets you know if you need to complete the form.
  2. Complete the form or prepare your own documents.
  3. Send your completed form or prepared documents by mail or email. Or send it to the deputy minister of the department or public sector body requesting the consent.

Cost

There is no cost to submit the form.

Download form