For security purposes, your session will expire after 10 minutes of inactivity, the information currently being drafted on the form will not be saved.
This reporting form will be transmitted in its entirety to the person in charge of handling it designated by your organization, for analysis.
At the end of this form, we will ask you to enter your contact information. This practice is in line with our policies, processes and directives at Raymond Chabot Grant Thornton, so that the Privacy Officer can contact you directly.
Your report facilitates the implementation of appropriate measures following a privacy incident, while ensuring, where appropriate, compliance with current regulations.
Your contribution matters.
1 – Description of the privacy incident. *
Please provide as many details as possible such as the cause, nature and location of the incident and other facts that may be useful when processing your report.
Please attach any document or file that may back up your report (optional).
Drag and drop your documents on this page or click on the button to upload them directly from your computer.
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2 - Specify the categories of personal information involved.
e.g., name, address, social insurance number, financial information, medical information
3 - In what format was the personal information?
e.g., paper, electronic database, email
4 – Has the information been lost or stolen?
5 – Do you know to whom the information was made available?
5.1 – Who had access to the information?
6 – Specify the date the incident occurred.
7 – Specify the date the incident was discovered.
8– How was the incident discovered?
9 – What is the estimated number of affected individuals?
10 – Has the incident been handled and contained?
10.1 - How was the incident handled?
Describe the immediate actions taken to contain and mitigate harm caused by the incident (e.g., change lock, change or revoke computer access codes, shut down computer systems).
11- Is there a risk of additional or permanent exposure of the information?
Please enter your contact details.
Raymond Chabot Grant Thornton's policies, processes and directives require that you provide your contact information so that the person responsible can contact you directly.
The policies, processes and directives are designed to comply with applicable laws concerning the protection of personal information as well as with the rules of confidentiality established by the various professional orders and institutes to which our partners and employees are subject.
Your username will be generated after clicking on the “Submit” button.
The password below has been automatically generated. You can change this password before sending your report. If you choose to change it, your password must contain between 12 and 30 characters, including at least one uppercase letter, one lowercase letter, one number and one special character (for example $%&*?).
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Attached files will be transferred in their entirety.
I am aware of the Terms of Use of the reporting service and of the Privacy Policy. I hereby acknowledge that I have read and understood these documents.