Submit accessibility feedback

Special Instructions

To navigate the accessibility feedback form please note:

Please make sure to use the buttons provided on the page rather than the browser buttons to navigate this website. Using the browser buttons may cause undesirable results.
Selecting a link on the menu bar will close your session. Any information entered during this session will be lost. However, you will be able to open the links in the questionnaire which will open in a new window.
All questions with an asterisk (*) are mandatory.
The application is available for a maximum of twenty-four (24) days.

Personal Information Collection

Service Canada takes its responsibility to safeguard your personal information, as required by the Privacy Act, very seriously. For further information, please see our Personal Information Collection Statement.

Select the program or initiative that you would like to contact us about:

What is your feedback about?

Your feedback (Enter up to 7000 characters. Do not include sensitive information such as your Social Insurance Number (SIN) or medical information.):

Contact Information

You may provide anonymous feedback. If you provide anonymous feedback, we will not attempt to contact you.

To provide anonymous feedback, leave the following boxes blank, and select “Submit” below.

First Name:

Last Name:

E-mail Address:

Area Code and Telephone number:

Extension:

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Date modified:: 2019-03-01