Certify and consent to privacy notice
Privacy notice
The personal information requested in this form is collected under the authority of the Financial Administration Act. The information provided in this form will be consolidated with pay information in a pay information database held at the Treasury Board of Canada Secretariat (TBS) and the Government of Canada pay system to:
- determine eligibility
- determine the amount of the payment to be made to you in accordance with the Settlement Agreement.
If you refuse to provide the personal information requested, TBS will be unable to process your claim for compensation.
The personal information you provide is collected by the TBS Claims Office and will be protected, used and disclosed in accordance with the Privacy Act and as described in TBS Personal Information Bank PCE 742 (Claims and Compensation for Damages Caused by the Phoenix Pay System) and Personal Information Bank PSE 904 (Pay and Benefits). Your information may also be used or disclosed for financial reporting and program evaluation purposes. Under the Privacy Act, individuals have a right to request access and to correct their personal information. If you wish to exercise this right or require clarification about this privacy notice, please contact the TBS Access to Information and Privacy Coordinator by email at atip.aiprp@tbs-sct.gc.ca. If you are not satisfied with the response to your privacy concern, you may contact the Office of the Privacy Commissioner by telephone at 1-800-282-1376 or by email at info@priv.gc.ca.