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Privacy Notice

The information you provide on this form is collected under the authority of paragraph 5(1)(a) of the Canada Border Services Agency Act. The information may be disclosed to employees of the Canada Border Services Agency, including those involved where the incident occurred, for the purposes of reviewing and/or investigating your complaint, providing positive recognition to the office or region indicated in your compliment, or to provide feedback to program officials on your experience with the CBSA. Information may also be shared internally with Security and Professional Standards for employees to conduct investigations, or may be shared internally or with international, federal, provincial or local law enforcement agencies for law enforcement and investigation purposes as authorized by subsection 8(2) of the Privacy Act.

Providing the information requested on this form is voluntary. However, we can only respond to your correspondence if you complete the fields on the form marked (required). Without this information, we may be unable to fully address your complaint. Individuals have the right of access to and/or can make corrections of their personal information under the Privacy Act. The information collected is described within Info Source under the Personal Information Bank CBSA PPU 003 and www.infosource.gc.ca.

Note

Please ensure your feedback is factual, relevant and appropriate.

The CBSA will not respond to any profane or obscene content.

This form cannot be saved or printed.

You are responsible for maintaining your own record of the information you submit to the CBSA using this form.

Refrain from submitting information that is disclosed without authorization, would reasonably be expected to cause serious injury outside the national interest, for example, loss of reputation or competitive advantage.

Si vous préférez communiquer avec nous en français, veuillez utiliser le formulaire français.

Contact information

Mailing Address



Please complete the following section only if you have Third Party Representative or an advocate and you want CBSA to communicate directly with them.

Note: Authorizing a 3rd party representative requires that you download and fill out the authorization form. Link to Authorization Form

Details


Error: Select at least one Type of Complaint


If so, provide the CBSA Complaint Case # or previous submission date

Providing us with any supplemental identifying numbers will assist in retrieving all associated documentation related to your feedback.

CBSA Reference Number (examples)

Type

Reference Number


To assist us in directing your feedback to the appropriate CBSA office, please specify the CBSA location of the incident (e.g., name of city, town). You may wish to refer to our Directory of CBSA Offices (opens in a separate window or tab).

If there is more than one date, please specify approximate date(s) when other incidents occurred in the Your feedback section below.


CBSA Employee(s) description or details, if known:

Employee First Name

Employee Last Name

Badge #

Email Address

Description

Were there any witnesses? If so please provide names and contact information

Witness First Name

Witness Last Name

Telephone

Email Address



Description of the Incident

Please describe the circumstances that led to your complaint and, where possible, provide the name and/or badge number of the CBSA officer involved (not exceeding 10,000 characters). We will forward your information to the applicable office/region for review. Thank you for helping us to serve you better

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(required)

Contact information

Your feedback

Please describe the circumstances that led to your feedback (not exceeding 4000 characters). We will forward your information to the applicable office/region for review.

Thank you for helping us to serve you better.

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(required)

Contact information

Your feedback

Please describe the circumstances that led to your feedback (not exceeding 4000 characters). We will forward your information to the applicable office/region for review.

Thank you for helping us to serve you better.

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(required)
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