Your response to the self-identification questions (Section II) is collected under the authority of the Bankruptcy and Insolvency Act and will be stored in Personal Information Bank no. IC PPU 058 - Estate Files Under the Bankruptcy and Insolvency Act. This information will be used by the Office of the Superintendent of Bankruptcy (OSB) for statistical analysis, public policy research, and program development. Your response is voluntary and will remain confidential. Refusing to answer Section II will not negatively impact the processing of your file under the Bankruptcy and Insolvency Act. You may access, request correction or notation to your personal information by contacting the OSB. You further have the right to complain to the Privacy Commissioner of Canada respecting the handling of your personal information by the OSB.
I, the undersigned, do consent to the collection, disclosure, and use of my response to the self-identification questions by the OSB.