cover image: RIGHTS, RESPONSIBILITIES AND CLIENT CONSENT FORM   Your personal information will be used to assess your household’s eligibility for income support

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RIGHTS, RESPONSIBILITIES AND CLIENT CONSENT FORM Your personal information will be used to assess your household’s eligibility for income support

20 Feb 2024

As stated in the Access to Information and Protection of Privacy Act (ATIPPA, 2015), all clients: have the right to the protection of their personal information; have the right to access their personal information that is held within the Department; and have the right to request the correction of their personal information if there has been an error or omission. [...] The Department has the authority to collect personal information in accordance with section 14 and 17 of the Income and Employment Support Act and section 5, 6 and 7 of the Income and Employment Support Regulations. [...] Client Consent to Release and Exchange Personal Information I give consent to the Department to obtain and verify information or documents required to confirm my eligibility, or the eligibility of family members (spouse, common-law spouse, children or dependent students), for income support services. [...] Consent for Canada Revenue Agency to Release Taxpayer Information I authorize the Canada Revenue Agency to release information from my income tax records and other relevant taxpayer information to an official of the Department. [...] The information will be used solely for the purpose of verifying my eligibility, determining my entitlement for income support benefits and for the general administration of the Income Support Program under the Income and Employment Support Act.

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Canada