Canada Border Services Agency Feedback Form – Canadian Victims Bill of Rights

Please closely review details on the Canadian Victims Bill of Rights (CVBR) and to whom those rights apply. Note that the CBSA will only consider CVBR complaints that meet the following conditions:

1. The CBSA must be currently investigating the criminal offence in which you are a victim;
2. The definition of a victim must apply to you or you must be eligible to act on a victim’s behalf;
3. You must be present in Canada, or are a Canadian citizen, or a permanent resident; and
4. You believe that the CBSA failed to consider your rights to information, participation and/or protection.

If you would still like to proceed with submitting a complaint, please read the privacy notice and complete the feedback form below.

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

Your Information

E-mail Address (required) Confirm E-mail Address (required) First Name (required) Family Name (required) Phone Number (required) Mailing address (required) City (required) Province/State (required) Postal Code/Zip Code (required) Country (required)

Best time of day to contact you, if applicable

Hour : Minute

Criminal Investigation Details

Name of the criminal investigations staff or contact

When did the incident(s) occur? If there is more than one date, please specify approximate date(s) when other incidents occurred in the text field below.

/ /

Hour : Minute

Which right(s) under the CVBR do you believe the CBSA failed to consider?

Information Participation Protection

To assist us in directing your feedback to the appropriate CBSA office, please specify below 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).

Your Feedback

Please describe the circumstances that led to your complaint and where possible, provide the name and/or badge number of the criminal investigations staff (not exceeding 1000 words). The information you provide will be forwarded to the appropriate office/region for review. Thank you for helping us to serve you better.

Feedback 0 words

Certification

I certify that, to the best of my knowledge, the information provided is true and accurate.

Certification Yes (Required)

Date modified:: 2015-07-22