Consent form for the collection and use of personal information

Condominium Syndicate:
Syndicate Name: ____________________________
Building Address: ____________________________

SECTION I: PURPOSE OF THE FORM

In accordance with the Act Respecting the Protection of Personal Information, this form seeks your consent for the collection, use, and storage of your personal information by the condominium syndicate. This information will be used exclusively for the management of the co-ownership, including contacting a designated person in case of emergency or for communication with co-owners.

SECTION II: PERSONAL INFORMATION

• Full Name of the Co-Owner or Occupant:

• Address of the Private Unit:

• Primary Phone Number:

• Email Address:

SECTION III: EMERGENCY CONTACTS

1. Name: ____________________________________________
Relationship to You: ________________________________
Phone Number: ____________________________________
Email Address (if applicable): ________________________
2. Name: ____________________________________________
Relationship to You: ________________________________
Phone Number: ____________________________________
Email Address (if applicable): ________________________

SECTION IV: USE OF INFORMATION

The collected information will only be used to:

• Contact you in case of an emergency involving the building or your unit.
• Facilitate the day-to-day management of the co-ownership (important announcements, meeting invitations, etc.).

Your personal information will not be shared with third parties without your consent unless required by law.

SECTION V: CONSENT

I, the undersigned, _____________________________ (name of co-owner/occupant), authorize the condominium syndicate to collect, use, and store my personal information as described in this form.

I understand that I may withdraw my consent at any time, subject to the syndicate’s legal obligations.

Signature of the Co-Owner/Occupant: _____________________________
Date: _____________________________