Please select one of the two options below.
CONSENT TO THE COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION
The OACIQ and FICI protect the privacy of information they collect in accordance with the applicable legislation and their personal information governance policies. The OACIQ and FICI may collect your personal information through this form, verbally, or through other documents submitted or to be submitted as part the processing of your request-claim. This personal information is necessary and will be used for the following purposes:
- Verification of your identity.
- Processing and analysis of your request-claim (e.g. its eligibility, review of the file and documents submitted, administrative processing).
Your personal information may be used by OACIQ staff members and committee members whose duties so require.
Your personal information contained, in particular, in your request-claim or its supporting documents will be disclosed to brokers and agencies concerned by your request-claim for the above-mentioned purposes.
In some cases prescribed by law, your personal information may be used for purposes other than those described above or disclosed to third parties without your consent.
Right of access and correction
Subject to certain reservations, the law authorizes you to access your personal information. You may request corrections to your personal information held by FICI if it is inaccurate, incomplete or equivocal, or if the collection, release or keeping of the information is not authorized by law.
A request for correction or access to your personal information may be filed with the OACIQ at the following address:
Person in charge of access to documents and protection of personal information
4905, boulevard Lapinière, bureau 2200
Brossard (Québec) J4Z 0G2
Telephone: 450-462-9800/1-800-440-7170, ext. 8314
Fax: 450-676-3513
Email: aiprp@oaciq.com
Consequences of refusal
The collection of your personal information is necessary to process your request-claim. In the event that you refuse or withdraw your consent to the collection, use, or disclosure of your personal information, the FICI will not be able to receive or process your request-claim.
Authorization and consent
Validity
This consent and authorization are valid for the length of time needed to achieve the purposes for which they were requested.
CONSENT TO THE COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION
The OACIQ and FARCIQ protect the privacy of information they collect in accordance with the applicable legislation and their personal information governance policies. The OACIQ and FARCIQ may collect your personal information through this form, verbally, or through other documents submitted or to be submitted as part the processing of your request-claim. This personal information is necessary and will be used for the following purposes:
- Verification of your identity and the identity of the parties involved in a request-claim.
- Processing, investigating and analyzing your request-claim (e.g. its eligibility, review of the file and documents submitted, administrative processing).
Your personal information may be used by OACIQ and FARCIQ staff and committee members whose duties so require. Where applicable, your personal information may be disclosed to and used by FARCIQ mandataries or service providers: a claims adjuster, an appraiser, an insurer or any other person or entity that may provide information for the processing, investigation and analysis of the claim (for example, municipal, civil and government authorities, financial or credit institutions).
Your personal information contained, in particular, in your request-claim or its supporting documents will be disclosed to the brokers and agencies involved in your request-claim for the above-mentioned purposes.
In some cases prescribed by law, your personal information may be used for purposes other than those described above or disclosed to third parties without your consent.
Right of access and correction
Subject to certain reservations, the law authorizes you to access your personal information. You may request corrections to your personal information held by FARCIQ if it is inaccurate, incomplete or equivocal, or if the collection, release or keeping of the information is not authorized by law.
A request for correction or access to your personal information may be filed with the OACIQ at the following address:
Person in charge of access to documents and protection of personal information
4905, boulevard Lapinière, bureau 2200
Brossard (Québec) J4Z 0G2
Telephone: 450-462-9800/1-800-440-7170, ext. 8314
Fax: 450-676-3513
Email: aiprp@oaciq.com
Consequences of refusal
The collection of your personal information is necessary to process your request-claim. In the event that you refuse or withdraw your consent to the collection, use, or disclosure of your personal information, FARCIQ will not be able to receive or process your request-claim (s. 9 of the Act respecting the protection of personal information in the private sector (CQLR, c. P-39.1)).
Authorization and consent
Validity
This consent and authorization are valid for the length of time needed to achieve the purposes for which they were requested.
I certify that the information contained in this Annex - Claim is complete and accurate. I undertake to fully cooperate with the OACIQ staff by providing, if applicable, additional information or documents that may be required.
I understand that my claim and all the documents provided may be forwarded to the Fonds d'assurance responsabilité professionnelle du courtage immobilier du Québec (FARCIQ) and to the Real Estate Indemnity Fund (FICI) if the situation so requires.
I understand that my claim does not have the effect of interrupting the legal period within which I am required to institute legal proceedings and assert my rights before civil courts. This limitation period is usually three years.
I understand that the OACIQ does not provide legal advice. The OACIQ suggests that I seek the help of a legal counsel who will be able to inform me about my rights and remedies.