I am a user of your telecommunications service, and am interested in both learning more about your data management practices and about the kinds of personal information that you maintain and retain about me. So this is a request to access my personal data under’ Principle 4.9 of Schedule 1 and section 8 Canada’s federal privacy legislation, the Personal Information Protection and Electronic Documents Act (PIPEDA).

I am requesting a copy of all records which contain my personal information from your organization.

The following is a non-exclusive listing of all information that your organization may hold about me, including the following:

• Info Category Name: Info Category Description

If your organization has other information in addition to these items, I formally request access to that as well. If your service includes a data export tool, please direct me to it, and ensure that in your response to this letter, you provide all information associated with me that is not included in the output of this tool. Please ensure that you include all information that is directly associated with my name, phone number, e-mail, or account number, as well as any other account identifiers that your company may associate with my personal information.

You are obligated to provide copies at a free or minimal cost within thirty (30) days in receipt of this message. If you choose to deny this request, you must provide a valid reason for doing so under Canada’s PIPEDA. Ignoring a written request is the same as refusing access. See the guide from the Office of the Privacy Commissioner at: http://www.priv.gc.ca/information/guide_e.asp#014. The Commissioner is an independent oversight body that handles privacy complaints from the public.

Please let me know if your organization requires additional information from me before proceeding with my request.

Here is information that may help you identify my records:

• Info Category Name: Info Category Description

Sincerely,

Information Category Information Category