Request for Disclosure of Personal Information to Government Entities

The City of Saskatoon is authorized to disclose personal information to other levels of government only in accordance with Sections 28(2)(h), 28(2)(i) and 28(2)(o) of The Local Authority Freedom of Information and Protection of Privacy Act.

Request Details

Name of Government Institution(Required)

Case Reference Number (e.g., Claim No.)

Requesting disclosure of personal information pertaining to

Please provide the name of the individual or other identifier

Specific personal information being requested(Required)

(e.g., Claim No., date, time-frame)

Purpose for the personal information being requested(Required)

Applicable sections that provides you the legislative authority for your request(Required)

(Reference the Act, Regulation, Code, etc. by name)

Authorized Government Official

Name(Required)

First Last

Title(Required)

Phone(Required)

Email(Required)

(provide government-issued or direct emails only, we cannot process requests from team mailboxes)

Date(Required)

Signature(Required)

Please enter your full name

Comments

This field is for validation purposes and should be left unchanged.