{"id":122720,"date":"2021-11-02T09:06:22","date_gmt":"2021-11-02T09:06:22","guid":{"rendered":"https:\/\/ccs.ca\/?page_id=122720"},"modified":"2024-05-14T11:47:50","modified_gmt":"2024-05-14T15:47:50","slug":"access-to-personal-information-request-form","status":"publish","type":"page","link":"https:\/\/ccs.ca\/access-to-personal-information-request-form\/","title":{"rendered":"Access  to Personal Information Request Form"},"content":{"rendered":"<noscript class=\"ninja-forms-noscript-message\">\n\tNotice: JavaScript is required for this content.<\/noscript>\n<div id=\"nf-form-27-cont\" class=\"nf-form-cont\" aria-live=\"polite\" aria-labelledby=\"nf-form-title-27\" aria-describedby=\"nf-form-errors-27\" role=\"form\">\n\n    <div class=\"nf-loading-spinner\"><\/div>\n\n<\/div>\n        <!-- That data is being printed as a workaround to page builders reordering the order of the scripts loaded-->\n        <script>var formDisplay=1;var nfForms=nfForms||[];var form=[];form.id='27';form.settings={\"objectType\":\"Form Setting\",\"editActive\":true,\"title\":\"Access to Information Request Form\",\"show_title\":0,\"allow_public_link\":1,\"embed_form\":\"\",\"clear_complete\":1,\"hide_complete\":1,\"default_label_pos\":\"above\",\"wrapper_class\":\"\",\"element_class\":\"\",\"key\":\"\",\"add_submit\":1,\"currency\":\"\",\"repeatable_fieldsets\":\"\",\"unique_field_error\":\"A form with this value has already been submitted.\",\"logged_in\":false,\"not_logged_in_msg\":\"\",\"sub_limit_msg\":\"The form has reached its submission limit.\",\"calculations\":[],\"conditions\":[],\"mp_breadcrumb\":1,\"mp_progress_bar\":1,\"mp_display_titles\":0,\"formContentData\":[{\"formContentData\":[\"html_1635860212488\"],\"order\":0,\"type\":\"part\",\"clean\":false,\"title\":\"Page 1\",\"key\":\"hjoem\",\"editActive\":true,\"drawerDisabled\":false},{\"formContentData\":[\"firstname_1629123750499\",\"lastname_1629123751440\",\"address_1629123343118\",\"city_1629123344145\",\"province_1629123364922\",\"postal_code_1629123849462\",\"email_1629123752366\",\"i_am_requesting_1629123056461\",\"method_of_access_preferred_please_choose_one_1635857572991\",\"provide_details_regarding_the_personal_information_being_sought_1635857660856\",\"html_1635857679813\",\"submit_1629123904063\"],\"order\":1,\"type\":\"part\",\"clean\":false,\"title\":\"Page 2\",\"key\":\"vlfpqoyg\",\"editActive\":true,\"drawerDisabled\":false}],\"public_link\":\"https:\\\/\\\/ccs.ca\\\/ninja-forms\\\/27km2g\",\"public_link_key\":\"27km2g\",\"changeEmailErrorMsg\":\"Please enter a valid email address!\",\"changeDateErrorMsg\":\"Please enter a valid date!\",\"confirmFieldErrorMsg\":\"These fields must match!\",\"fieldNumberNumMinError\":\"Number Min Error\",\"fieldNumberNumMaxError\":\"Number Max Error\",\"fieldNumberIncrementBy\":\"Please increment by \",\"formErrorsCorrectErrors\":\"Please correct errors before submitting this form.\",\"validateRequiredField\":\"This is a required field.\",\"honeypotHoneypotError\":\"Honeypot Error\",\"fieldsMarkedRequired\":\"Fields marked with an <span class=\\\"ninja-forms-req-symbol\\\">*<\\\/span> are required\",\"drawerDisabled\":false,\"ninjaForms\":\"Ninja Forms\",\"fieldTextareaRTEInsertLink\":\"Insert Link\",\"fieldTextareaRTEInsertMedia\":\"Insert Media\",\"fieldTextareaRTESelectAFile\":\"Select a file\",\"formHoneypot\":\"If you are a human seeing this field, please leave it empty.\",\"fileUploadOldCodeFileUploadInProgress\":\"File Upload in Progress.\",\"fileUploadOldCodeFileUpload\":\"FILE UPLOAD\",\"currencySymbol\":\"&#36;\",\"thousands_sep\":\",\",\"decimal_point\":\".\",\"siteLocale\":\"en_US\",\"dateFormat\":\"m\\\/d\\\/Y\",\"startOfWeek\":\"1\",\"of\":\"of\",\"previousMonth\":\"Previous Month\",\"nextMonth\":\"Next Month\",\"months\":[\"January\",\"February\",\"March\",\"April\",\"May\",\"June\",\"July\",\"August\",\"September\",\"October\",\"November\",\"December\"],\"monthsShort\":[\"Jan\",\"Feb\",\"Mar\",\"Apr\",\"May\",\"Jun\",\"Jul\",\"Aug\",\"Sep\",\"Oct\",\"Nov\",\"Dec\"],\"weekdays\":[\"Sunday\",\"Monday\",\"Tuesday\",\"Wednesday\",\"Thursday\",\"Friday\",\"Saturday\"],\"weekdaysShort\":[\"Sun\",\"Mon\",\"Tue\",\"Wed\",\"Thu\",\"Fri\",\"Sat\"],\"weekdaysMin\":[\"Su\",\"Mo\",\"Tu\",\"We\",\"Th\",\"Fr\",\"Sa\"],\"recaptchaConsentMissing\":\"reCaptcha validation couldn&#039;t load.\",\"recaptchaMissingCookie\":\"reCaptcha v3 validation couldn&#039;t load the cookie needed to submit the form.\",\"recaptchaConsentEvent\":\"Accept reCaptcha cookies before sending the form.\",\"currency_symbol\":\"\",\"beforeForm\":\"\",\"beforeFields\":\"\",\"afterFields\":\"\",\"afterForm\":\"\"};form.fields=[{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":999,\"idAttribute\":\"id\",\"type\":\"html\",\"label\":\"HTML\",\"default\":\"<p><span class=\\\"nf-setting-groups\\\"><span class=\\\"nf-field-settings\\\"><\\\/span><\\\/span><\\\/p><p><span class=\\\"markedContent\\\" id=\\\"page29R_mcid9\\\"><span style=\\\"left: 60px; top: 384.86px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00854);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\">To\\n obtain your personal information under the Privacy Act, click NEXT and submit the form on page 2. Describe the information being sought and provide relevant details\\n such as the subject matter, date range and type of records.<\\\/span><span style=\\\"left: 60px; top: 404.06px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00255);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\"><\\\/span><\\\/span><\\\/p><p><span class=\\\"markedContent\\\" id=\\\"page29R_mcid9\\\"><span style=\\\"left: 60px; top: 404.06px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00255);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\"><b>Things you will need<\\\/b><\\\/span><\\\/span><\\\/p><p><span class=\\\"markedContent\\\" id=\\\"page29R_mcid9\\\"><span style=\\\"left: 60px; top: 404.06px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00255);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\"><b><u>Information about yourself:<\\\/u><br><\\\/b><\\\/span><\\\/span><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG) <\\\/li><\\\/ul><p><u><b>Information about another individual with their consent:<\\\/b><\\\/u><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG)<\\\/li><li>Proof that the individual on whose behalf you are making the \\nrequest has the right to make a request for their personal information, \\nsuch as proof of their Canadian citizenship (a copy of their passport or\\n citizenship certificate); or proof of their status as a permanent \\nresident (a copy of their permanent resident card); or proof of \\ntemporary status in Canada (a work, study, and\\\/or visitor permit)<\\\/li><li>If you are making a request on behalf of someone else, you must include \\nconsent to release their information. The consent must be signed and \\ndated by the person authorizing the disclosure of his\\\/her information.<br><\\\/li><\\\/ul><p><u><b>Information about an individual who has been deceased for less than 20 years:<\\\/b><\\\/u><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG) \\n       <ul><li>Proof that the deceased person was a Canadian citizen (such \\nas a copy of the person's passport or citizenship certificate); proof of\\n the person's status as a permanent resident, (such as a copy of the \\nperson's permanent resident card); or proof of temporary status in \\nCanada (such as a work, study and\\\/or visitor permit)<\\\/li><li>Proof of your status as executor<\\\/li><\\\/ul><\\\/li><\\\/ul><p><u><b>Information about an individual who has been deceased for more than 20 years<\\\/b><\\\/u><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG) \\n       <ul><li>Proof of <strong>death documentation<\\\/strong>, such as a copy of an obituary notice, a death certificate, or a photo of a tombstone<\\\/li><\\\/ul><\\\/li><\\\/ul><p><br><\\\/p><br><p><\\\/p>\",\"container_class\":\"\",\"element_class\":\"\",\"key\":\"html_1635860212488\",\"drawerDisabled\":false,\"id\":592,\"beforeField\":\"\",\"afterField\":\"\",\"value\":\"<p><span class=\\\"nf-setting-groups\\\"><span class=\\\"nf-field-settings\\\"><\\\/span><\\\/span><\\\/p><p><span class=\\\"markedContent\\\" id=\\\"page29R_mcid9\\\"><span style=\\\"left: 60px; top: 384.86px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00854);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\">To\\n obtain your personal information under the Privacy Act, click NEXT and submit the form on page 2. Describe the information being sought and provide relevant details\\n such as the subject matter, date range and type of records.<\\\/span><span style=\\\"left: 60px; top: 404.06px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00255);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\"><\\\/span><\\\/span><\\\/p><p><span class=\\\"markedContent\\\" id=\\\"page29R_mcid9\\\"><span style=\\\"left: 60px; top: 404.06px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00255);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\"><b>Things you will need<\\\/b><\\\/span><\\\/span><\\\/p><p><span class=\\\"markedContent\\\" id=\\\"page29R_mcid9\\\"><span style=\\\"left: 60px; top: 404.06px; font-size: 16.6px; font-family: sans-serif; transform: scaleX(1.00255);\\\" role=\\\"presentation\\\" dir=\\\"ltr\\\"><b><u>Information about yourself:<\\\/u><br><\\\/b><\\\/span><\\\/span><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG) <\\\/li><\\\/ul><p><u><b>Information about another individual with their consent:<\\\/b><\\\/u><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG)<\\\/li><li>Proof that the individual on whose behalf you are making the \\nrequest has the right to make a request for their personal information, \\nsuch as proof of their Canadian citizenship (a copy of their passport or\\n citizenship certificate); or proof of their status as a permanent \\nresident (a copy of their permanent resident card); or proof of \\ntemporary status in Canada (a work, study, and\\\/or visitor permit)<\\\/li><li>If you are making a request on behalf of someone else, you must include \\nconsent to release their information. The consent must be signed and \\ndated by the person authorizing the disclosure of his\\\/her information.<br><\\\/li><\\\/ul><p><u><b>Information about an individual who has been deceased for less than 20 years:<\\\/b><\\\/u><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG) \\n       <ul><li>Proof that the deceased person was a Canadian citizen (such \\nas a copy of the person's passport or citizenship certificate); proof of\\n the person's status as a permanent resident, (such as a copy of the \\nperson's permanent resident card); or proof of temporary status in \\nCanada (such as a work, study and\\\/or visitor permit)<\\\/li><li>Proof of your status as executor<\\\/li><\\\/ul><\\\/li><\\\/ul><p><u><b>Information about an individual who has been deceased for more than 20 years<\\\/b><\\\/u><\\\/p><ul><li>Access to a <strong>valid email account<\\\/strong><\\\/li><li>Electronic <strong>copies of any documents<\\\/strong> you wish to attach to your request (accepted formats are DOC, DOCX, PDF, TIFF, JPG, or PNG) \\n       <ul><li>Proof of <strong>death documentation<\\\/strong>, such as a copy of an obituary notice, a death certificate, or a photo of a tombstone<\\\/li><\\\/ul><\\\/li><\\\/ul><p><br><\\\/p><br><p><\\\/p>\",\"label_pos\":\"above\",\"parentType\":\"html\",\"element_templates\":[\"html\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":1,\"idAttribute\":\"id\",\"type\":\"firstname\",\"label\":\"First Name\",\"key\":\"firstname_1629123750499\",\"label_pos\":\"above\",\"required\":1,\"default\":\"\",\"placeholder\":\"\",\"container_class\":\"\",\"element_class\":\"\",\"admin_label\":\"\",\"help_text\":\"\",\"custom_name_attribute\":\"fname\",\"personally_identifiable\":1,\"value\":\"\",\"drawerDisabled\":false,\"id\":579,\"beforeField\":\"\",\"afterField\":\"\",\"parentType\":\"firstname\",\"element_templates\":[\"firstname\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":2,\"idAttribute\":\"id\",\"type\":\"lastname\",\"label\":\"Last Name\",\"key\":\"lastname_1629123751440\",\"label_pos\":\"above\",\"required\":1,\"default\":\"\",\"placeholder\":\"\",\"container_class\":\"\",\"element_class\":\"\",\"admin_label\":\"\",\"help_text\":\"\",\"custom_name_attribute\":\"lname\",\"personally_identifiable\":1,\"value\":\"\",\"drawerDisabled\":false,\"id\":580,\"beforeField\":\"\",\"afterField\":\"\",\"parentType\":\"lastname\",\"element_templates\":[\"lastname\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":3,\"idAttribute\":\"id\",\"type\":\"address\",\"label\":\"Address\",\"key\":\"address_1629123343118\",\"label_pos\":\"above\",\"required\":1,\"default\":\"\",\"placeholder\":\"\",\"container_class\":\"\",\"element_class\":\"\",\"input_limit\":\"\",\"input_limit_type\":\"characters\",\"input_limit_msg\":\"Character(s) left\",\"manual_key\":false,\"admin_label\":\"\",\"help_text\":\"\",\"mask\":\"\",\"custom_mask\":\"\",\"custom_name_attribute\":\"address\",\"personally_identifiable\":1,\"value\":\"\",\"drawerDisabled\":false,\"id\":581,\"beforeField\":\"\",\"afterField\":\"\",\"parentType\":\"address\",\"element_templates\":[\"address\",\"textbox\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":4,\"idAttribute\":\"id\",\"type\":\"city\",\"label\":\"City\",\"key\":\"city_1629123344145\",\"label_pos\":\"above\",\"required\":1,\"default\":\"\",\"placeholder\":\"\",\"container_class\":\"\",\"element_class\":\"\",\"input_limit\":\"\",\"input_limit_type\":\"characters\",\"input_limit_msg\":\"Character(s) left\",\"manual_key\":false,\"admin_label\":\"\",\"help_text\":\"\",\"mask\":\"\",\"custom_mask\":\"\",\"custom_name_attribute\":\"city\",\"personally_identifiable\":\"\",\"value\":\"\",\"id\":582,\"beforeField\":\"\",\"afterField\":\"\",\"parentType\":\"city\",\"element_templates\":[\"city\",\"textbox\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":5,\"idAttribute\":\"id\",\"type\":\"liststate\",\"label\":\"Province\",\"key\":\"province_1629123364922\",\"label_pos\":\"above\",\"required\":1,\"options\":[{\"errors\":[],\"max_options\":0,\"order\":0,\"new\":false,\"options\":[],\"label\":\"Ontario\",\"value\":\"ON\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":1,\"new\":false,\"options\":[],\"label\":\"British Columbia\",\"value\":\"BC\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":2,\"new\":false,\"options\":[],\"label\":\"Manitoba\",\"value\":\"MB\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":3,\"new\":false,\"options\":[],\"label\":\"New Brunswick\",\"value\":\"NB\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":4,\"new\":false,\"options\":[],\"label\":\"Newfoundland and Labrador\",\"value\":\"NFLD\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":5,\"new\":false,\"options\":[],\"label\":\"Northwest Territories\",\"value\":\"NT\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":6,\"new\":false,\"options\":[],\"label\":\"Nova Scotia\",\"value\":\"NS\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":7,\"new\":false,\"options\":[],\"label\":\"Nunavut\",\"value\":\"NU\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":8,\"new\":false,\"options\":[],\"label\":\"Prince Edward Island\",\"value\":\"PEI\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":9,\"new\":false,\"options\":[],\"label\":\"Quebec\",\"value\":\"QC\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":10,\"new\":false,\"options\":[],\"label\":\"Saskatchewan\",\"value\":\"SK\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"order\":11,\"new\":false,\"options\":[],\"label\":\"Yukon\",\"value\":\"YT\",\"calc\":\"\",\"selected\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true},{\"errors\":[],\"max_options\":0,\"label\":\"Alberta\",\"value\":\"AB\",\"calc\":\"\",\"selected\":0,\"order\":12,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}},\"manual_value\":true}],\"container_class\":\"\",\"element_class\":\"\",\"admin_label\":\"\",\"help_text\":\"\",\"drawerDisabled\":false,\"id\":583,\"beforeField\":\"\",\"afterField\":\"\",\"value\":\"\",\"parentType\":\"list\",\"element_templates\":[\"liststate\",\"listselect\",\"input\"],\"old_classname\":\"list-select\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":6,\"idAttribute\":\"id\",\"type\":\"zip\",\"label\":\"Postal Code\",\"key\":\"postal_code_1629123849462\",\"label_pos\":\"above\",\"required\":1,\"default\":\"\",\"placeholder\":\"\",\"container_class\":\"\",\"element_class\":\"\",\"input_limit\":\"\",\"input_limit_type\":\"characters\",\"input_limit_msg\":\"Character(s) left\",\"manual_key\":false,\"admin_label\":\"\",\"help_text\":\"\",\"mask\":\"\",\"custom_mask\":\"\",\"custom_name_attribute\":\"zip\",\"personally_identifiable\":\"\",\"value\":\"\",\"drawerDisabled\":false,\"id\":584,\"beforeField\":\"\",\"afterField\":\"\",\"parentType\":\"zip\",\"element_templates\":[\"zip\",\"textbox\",\"input\",\"textbox\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":7,\"idAttribute\":\"id\",\"type\":\"email\",\"label\":\"Email\",\"key\":\"email_1629123752366\",\"label_pos\":\"above\",\"required\":1,\"default\":\"\",\"placeholder\":\"\",\"container_class\":\"\",\"element_class\":\"\",\"admin_label\":\"\",\"help_text\":\"\",\"custom_name_attribute\":\"email\",\"personally_identifiable\":1,\"value\":\"\",\"drawerDisabled\":false,\"id\":585,\"beforeField\":\"\",\"afterField\":\"\",\"parentType\":\"email\",\"element_templates\":[\"email\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":8,\"idAttribute\":\"id\",\"type\":\"listcheckbox\",\"label\":\"I am requesting \",\"key\":\"i_am_requesting_1629123056461\",\"label_pos\":\"above\",\"required\":1,\"options\":[{\"errors\":[],\"max_options\":0,\"label\":\"personal information about myself.\",\"value\":\"personal-information-about-myself\",\"calc\":\"\",\"selected\":0,\"order\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}}},{\"errors\":[],\"max_options\":0,\"label\":\"personal information on behalf of another individual who is a Canadian citizen, permanent resident or an individual present in Canada. \",\"value\":\"personal-information-on-behalf-of-another-individual-who-is-a-canadian-citizen-permanent-resident-or-an-individual-present-in-canada\",\"calc\":\"\",\"selected\":0,\"order\":1,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}}}],\"container_class\":\"\",\"element_class\":\"\",\"admin_label\":\"\",\"help_text\":\"\",\"drawerDisabled\":false,\"id\":586,\"beforeField\":\"\",\"afterField\":\"\",\"value\":\"\",\"parentType\":\"list\",\"element_templates\":[\"listcheckbox\",\"input\"],\"old_classname\":\"list-checkbox\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":9,\"idAttribute\":\"id\",\"type\":\"listcheckbox\",\"label\":\"Method of access preferred (Please choose one)\",\"key\":\"method_of_access_preferred_please_choose_one_1635857572991\",\"label_pos\":\"above\",\"required\":1,\"options\":[{\"errors\":[],\"max_options\":0,\"label\":\"Receive electronic copies of the documents \",\"value\":\"receive-electronic-copies-of-the-documents\",\"calc\":\"\",\"selected\":0,\"order\":0,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}}},{\"errors\":[],\"max_options\":0,\"label\":\"Receive paper copies of the documents (Please note fees may apply)\",\"value\":\"receive-paper-copies-of-the-documents-please-note-fees-may-apply\",\"calc\":\"\",\"selected\":0,\"order\":1,\"settingModel\":{\"settings\":false,\"hide_merge_tags\":false,\"error\":false,\"name\":\"options\",\"type\":\"option-repeater\",\"label\":\"Options <a href=\\\"#\\\" class=\\\"nf-add-new\\\">Add New<\\\/a> <a href=\\\"#\\\" class=\\\"extra nf-open-import-tooltip\\\"><i class=\\\"fa fa-sign-in\\\" aria-hidden=\\\"true\\\"><\\\/i> Import<\\\/a>\",\"width\":\"full\",\"group\":\"\",\"value\":[{\"label\":\"One\",\"value\":\"one\",\"calc\":\"\",\"selected\":0,\"order\":0},{\"label\":\"Two\",\"value\":\"two\",\"calc\":\"\",\"selected\":0,\"order\":1},{\"label\":\"Three\",\"value\":\"three\",\"calc\":\"\",\"selected\":0,\"order\":2}],\"columns\":{\"label\":{\"header\":\"Label\",\"default\":\"\"},\"value\":{\"header\":\"Value\",\"default\":\"\"},\"calc\":{\"header\":\"Calc Value\",\"default\":\"\"},\"selected\":{\"header\":\"<span class=\\\"dashicons dashicons-yes\\\"><\\\/span>\",\"default\":0}}}}],\"container_class\":\"\",\"element_class\":\"\",\"admin_label\":\"\",\"help_text\":\"\",\"drawerDisabled\":false,\"id\":588,\"beforeField\":\"\",\"afterField\":\"\",\"value\":\"\",\"parentType\":\"list\",\"element_templates\":[\"listcheckbox\",\"input\"],\"old_classname\":\"list-checkbox\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":11,\"idAttribute\":\"id\",\"type\":\"textarea\",\"label\":\"Provide details regarding the personal information being sought\",\"key\":\"provide_details_regarding_the_personal_information_being_sought_1635857660856\",\"label_pos\":\"above\",\"required\":1,\"default\":\"(e.g. subject matter, date range, type of records) \",\"placeholder\":\"\",\"container_class\":\"\",\"element_class\":\"\",\"input_limit\":\"\",\"input_limit_type\":\"characters\",\"input_limit_msg\":\"Character(s) left\",\"manual_key\":false,\"admin_label\":\"\",\"help_text\":\"\",\"textarea_rte\":\"\",\"disable_rte_mobile\":\"\",\"textarea_media\":\"\",\"value\":\"(e.g. subject matter, date range, type of records) \",\"drawerDisabled\":false,\"id\":589,\"beforeField\":\"\",\"afterField\":\"\",\"parentType\":\"textarea\",\"element_templates\":[\"textarea\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":12,\"idAttribute\":\"id\",\"type\":\"html\",\"label\":\"HTML\",\"default\":\"Click submit to forward this form to the Privacy Officer at the Canadian Cardiovascular Society.<br><ul><li>For more information on PIPEDA and Accessing your Personal Information please visit the <a href=\\\"https:\\\/\\\/www.priv.gc.ca\\\/en\\\/\\\" target=\\\"_blank\\\">The Office of the Privacy Commissioner of Canada Website.<\\\/a><\\\/li><\\\/ul><br>\",\"container_class\":\"\",\"element_class\":\"\",\"key\":\"html_1635857679813\",\"drawerDisabled\":false,\"id\":590,\"beforeField\":\"\",\"afterField\":\"\",\"value\":\"Click submit to forward this form to the Privacy Officer at the Canadian Cardiovascular Society.<br><ul><li>For more information on PIPEDA and Accessing your Personal Information please visit the <a href=\\\"https:\\\/\\\/www.priv.gc.ca\\\/en\\\/\\\" target=\\\"_blank\\\">The Office of the Privacy Commissioner of Canada Website.<\\\/a><\\\/li><\\\/ul><br>\",\"label_pos\":\"above\",\"parentType\":\"html\",\"element_templates\":[\"html\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap\"},{\"objectType\":\"Field\",\"objectDomain\":\"fields\",\"editActive\":false,\"order\":13,\"idAttribute\":\"id\",\"type\":\"submit\",\"label\":\"Submit\",\"processing_label\":\"Processing\",\"container_class\":\"\",\"element_class\":\"\",\"key\":\"submit_1629123904063\",\"id\":587,\"beforeField\":\"\",\"afterField\":\"\",\"value\":\"\",\"label_pos\":\"above\",\"parentType\":\"textbox\",\"element_templates\":[\"submit\",\"button\",\"input\"],\"old_classname\":\"\",\"wrap_template\":\"wrap-no-label\"}];nfForms.push(form);<\/script>\n        <script id=\"tmpl-nf-mp-form-content\" type=\"text\/template\">\n\t<div class=\"nf-mp-header\"><\/div>\n\t<div class=\"nf-mp-body\"><\/div>\n\t<div class=\"nf-mp-footer\"><\/div>\n<\/script>\n\n\n<script id=\"tmpl-nf-mp-header\" type=\"text\/template\">\n\t{{{ data.renderProgressBar() }}}\n\t{{{ data.renderBreadcrumbs() }}}\n\t{{{ data.renderPartTitle() }}}\n<\/script>\n<script id=\"tmpl-nf-mp-part-title\" type=\"text\/template\">\n\t<h3>\n\t\t{{{ data.title }}}\n\t<\/h3>\n<\/script>\n\n<script id=\"tmpl-nf-mp-footer\" type=\"text\/template\">\n\t{{{ data.renderNextPrevious() }}}\n<\/script>\n\n<script id=\"tmpl-nf-mp-next-previous\" type=\"text\/template\">\n\t<ul class=\"nf-next-previous\">\n\t\t<# if ( data.showPrevious ) { #>\n\t\t<li class=\"nf-previous-item\">\n\t\t\t<input type=\"button\" class=\"nf-previous\" value=\"{{{ data.prevLabel }}}\" \/>\n\t\t<\/li>\n\t\t<# } #>\n\n\t\t<# if ( data.showNext ) { #>\n\t\t<li class=\"nf-next-item\">\n\t\t\t<input type=\"button\" class=\"nf-next\" value=\"{{{ data.nextLabel }}}\" \/>\n\t\t<\/li>\n\t\t<# } #>\n\t<\/ul>\n<\/script>\n\n<script id=\"tmpl-nf-mp-breadcrumbs\" type=\"text\/template\">\n\t<ul class=\"nf-breadcrumbs\">\n\t\t<# _.each( data.parts, function( part, index ) { #>\n\t\t<li class=\"{{{ ( data.currentIndex == index ) ? 'active' : '' }}} {{{ ( part.errors ) ? 'errors' : '' }}}\">\n\t\t\t<a href=\"#\" class=\"nf-breadcrumb\" data-index=\"{{{ index }}}\">{{{ ( part.errors ) ? '' : '' }}} {{{ part.title }}}<\/a>\n\t\t<\/li>\n\t\t<# } ); #>\n\t<\/ul>\n<\/script>\n\n<script id=\"tmpl-nf-mp-progress-bar\" type=\"text\/template\">\n    <div class=\"nf-progress-container\">\n        <div class=\"nf-progress\" style=\"width: {{{ data.percent }}}%;\"><\/div>\n    <\/div>\n<\/script>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":7813,"featured_media":0,"parent":0,"menu_order":375,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"footnotes":""},"wf_page_folders":[222],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Access to Personal Information Request Form - Canadian Cardiovascular Society<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ccs.ca\/access-to-personal-information-request-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Access to Personal Information Request Form - Canadian Cardiovascular Society\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ccs.ca\/access-to-personal-information-request-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Canadian Cardiovascular Society\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/SCC.CCS.ca\/\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-14T15:47:50+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@SCC_CCS\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ccs.ca\/access-to-personal-information-request-form\/\",\"url\":\"https:\/\/ccs.ca\/access-to-personal-information-request-form\/\",\"name\":\"Access to Personal Information Request Form - Canadian Cardiovascular Society\",\"isPartOf\":{\"@id\":\"https:\/\/ccs.ca\/#website\"},\"datePublished\":\"2021-11-02T09:06:22+00:00\",\"dateModified\":\"2024-05-14T15:47:50+00:00\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ccs.ca\/access-to-personal-information-request-form\/\"]}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ccs.ca\/#website\",\"url\":\"https:\/\/ccs.ca\/\",\"name\":\"Canadian Cardiovascular Society\",\"description\":\"Strong heart teams in a heart-healthy Canada.\",\"publisher\":{\"@id\":\"https:\/\/ccs.ca\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ccs.ca\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/ccs.ca\/#organization\",\"name\":\"Canadian Cardiovascular Society\",\"url\":\"https:\/\/ccs.ca\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ccs.ca\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/ccs.ca\/wp-content\/uploads\/2022\/12\/cropped-CCS-3line-ENG-Trimmed.png\",\"contentUrl\":\"https:\/\/ccs.ca\/wp-content\/uploads\/2022\/12\/cropped-CCS-3line-ENG-Trimmed.png\",\"width\":699,\"height\":250,\"caption\":\"Canadian Cardiovascular Society\"},\"image\":{\"@id\":\"https:\/\/ccs.ca\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/SCC.CCS.ca\/\",\"https:\/\/x.com\/SCC_CCS\",\"https:\/\/ca.linkedin.com\/company\/canadian-cardiovascular-society\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Access to Personal Information Request Form - Canadian Cardiovascular Society","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ccs.ca\/access-to-personal-information-request-form\/","og_locale":"en_US","og_type":"article","og_title":"Access to Personal Information Request Form - Canadian Cardiovascular Society","og_url":"https:\/\/ccs.ca\/access-to-personal-information-request-form\/","og_site_name":"Canadian Cardiovascular Society","article_publisher":"https:\/\/www.facebook.com\/SCC.CCS.ca\/","article_modified_time":"2024-05-14T15:47:50+00:00","twitter_card":"summary_large_image","twitter_site":"@SCC_CCS","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/ccs.ca\/access-to-personal-information-request-form\/","url":"https:\/\/ccs.ca\/access-to-personal-information-request-form\/","name":"Access to Personal Information Request Form - Canadian Cardiovascular Society","isPartOf":{"@id":"https:\/\/ccs.ca\/#website"},"datePublished":"2021-11-02T09:06:22+00:00","dateModified":"2024-05-14T15:47:50+00:00","inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ccs.ca\/access-to-personal-information-request-form\/"]}]},{"@type":"WebSite","@id":"https:\/\/ccs.ca\/#website","url":"https:\/\/ccs.ca\/","name":"Canadian Cardiovascular Society","description":"Strong heart teams in a heart-healthy Canada.","publisher":{"@id":"https:\/\/ccs.ca\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ccs.ca\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/ccs.ca\/#organization","name":"Canadian Cardiovascular Society","url":"https:\/\/ccs.ca\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ccs.ca\/#\/schema\/logo\/image\/","url":"https:\/\/ccs.ca\/wp-content\/uploads\/2022\/12\/cropped-CCS-3line-ENG-Trimmed.png","contentUrl":"https:\/\/ccs.ca\/wp-content\/uploads\/2022\/12\/cropped-CCS-3line-ENG-Trimmed.png","width":699,"height":250,"caption":"Canadian Cardiovascular Society"},"image":{"@id":"https:\/\/ccs.ca\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/SCC.CCS.ca\/","https:\/\/x.com\/SCC_CCS","https:\/\/ca.linkedin.com\/company\/canadian-cardiovascular-society"]}]}},"_links":{"self":[{"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/pages\/122720"}],"collection":[{"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/users\/7813"}],"replies":[{"embeddable":true,"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/comments?post=122720"}],"version-history":[{"count":2,"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/pages\/122720\/revisions"}],"predecessor-version":[{"id":122722,"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/pages\/122720\/revisions\/122722"}],"wp:attachment":[{"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/media?parent=122720"}],"wp:term":[{"taxonomy":"wf_page_folders","embeddable":true,"href":"https:\/\/ccs.ca\/wp-json\/wp\/v2\/wf_page_folders?post=122720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}