CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ
200-5455, Av. de Gaspé
Montréal (Québec)
H2T 3B3
1. BACKGROUND
CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ wishes to use, as of today, your personal information to create your user file. This information will be used to fulfill the company's obligations to you in connection with one or more alleged requests for services, whether or not they actually occur.
To do so, CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ must obtain your consent to collect personal information about you.
2. PERSONAL INFORMATION CONCERNED
In order to complete the service request, CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ requires various personal information (the personal client record).
By completing your paper or electronic client file, you are giving your consent. Be sure to read all the information available on the form.
3. PURPOSE
Personal information is necessary for CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ to carry out its obligations towards you in concluding one or more service requests.
4. CONFIDENTIALITY AND SECURITY MEASURES
According to the law, the information listed below is personal information: it concerns you and allows you to be identified.
CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ undertakes to maintain security measures to ensure the confidentiality of this information.
5. COMMUNICATION
CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ will not disclose your personal information to any third party, except to the extent necessary for a third party to provide services.
In such cases, CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ will enter into a contract or confidentiality agreement with the third party to ensure that appropriate security measures are implemented and maintained. The third party may have access to your personal and identifying information, but only to the extent necessary to carry out a mandate or contract.
In some cases, when required by law or by a competent authority, CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ may be obliged to disclose your personal information.
6. CONSERVATION
Your personal information will be retained until the earliest of the following events occurs:
(i) failure of the request for services (non-fulfillment)
(ii) termination of service requests
(iii) withdrawal of your consent.
At that time, CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ will securely destroy your personal information as soon as possible, including information that may have been accessed by third parties in the course of providing services.
7. RIGHT OF ACCESS AND RECTIFICATION
As with all your personal information, you may request access to or rectification of your personal information.
To make a request, you must send it in writing to Marc St-Onge Gervais at CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ at the following address:
Postal address:
200-5455, Av. De Gaspé
Montreal (Quebec)
H2T 3B3
E-mail address: confidentialite@cqts.qc.ca
CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ must respond to your request for access, rectification or information within thirty (30) days of receipt.
8. CONSENT
I confirm that I have read this form and its appendix and have understood the information regarding the collection, use and retention of my personal information by the CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ.
I understand that my personal information will only be used by CONSEIL QUÉBÉCOIS SUR LE TABAC ET LA SANTÉ to fulfill its obligations to me in the completion of one or more service requests.
I consent to the collection, use and retention of my personal information as outlined in this form.