Agency Identifying Information Complaint Form

Report Related to the Identifying Information Law

If you believe that CCRB or one of its contractors has collected, retained, or disclosed identifying information in violation of the Identifying Information Law (Admin. Code §§ 23-1201 through 23-1205), you may fill out and submit this form.

* Indicates required fields

Name *

Email *

Phone *

Date you learned that CCRB collected or disclosed identifying information *

Description *

Complaints will be sent to the CCRB's privacy officer and will only be used to investigate this complaint. To investigate and resolve the complaint, CCRB may share complaint information with other City agencies.

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