FORM 41
Security Intelligence Review Committee (SIRC)
SECTION A – PERSONAL INFORMATION
Specific Allegations against the Canadian Security Intelligence Service (CSIS):
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You must first file a complaint by writing to the Director of CSIS at the following address:
Director
Canadian Security Intelligence Service
P.O. Box 9732
Postal Station T
Ottawa, ON K1G 4G4
If you are not satisfied with the Director’s response, or if you do not receive a response within a reasonable time (usually 30 days), you may then submit your complaint to SIRC.
You may contact SIRC at the following address:
Security Intelligence Review Committee
P.O. Box 2430
Station D
Ottawa, ON K1P 5W5
Once your complaint is received, SIRC will contact you to follow up on the information you provided. For further information, please contact the SIRC Registrar at (613) 907-4403.
SECTION B – DETAILS OF MY COMPLAINT
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SECTION C – CERTIFICATION
□ I have sent a complaint letter to the Director of CSIS
□ I have attached a copy of my letter of complaint to the Director of CSIS
□ I am dissatisfied with the response from the Director of CSIS
□ I have not received a response from the Director of CSIS within 30 days
□ I have attached the response from the Director of CSIS, if any
Signature: _________________________________________
Date: _____________
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