Department of Consumer and Worker Protection Identifying Information Complaint Form

If you believe that the Department of Consumer and Worker Protection (DCWP) or one of its contractors has collected, retained, or disclosed identifying information in violation of the Identifying Information Law, please fill out and submit the form below.

* Indicates required fields

Name*

Email*

Phone*

Date you learned that DCWP collected or disclosed identifying information
(MM/DD/YYYY format)*

Description*
Please provide as much information as possible, including:

the type of identifying information you believe was improperly collected or disclosed;
if the complaint is against a contractor, the name of the contractor; and
what you believe occurred and how you became aware of it.

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