1 Current Page 1 2 Page 2 3 Preview The collection of personal information on this form is made under the authority of section 31(c) of the Freedom of Information and Protection of Privacy Act for the purpose of addressing your complaint. Questions regarding the collection can be directed to the Acadian and Francophone Affairs Secretariat (address: PO Box 58, Wellington, PE C0B 2E0; telephone: 902-854-7446.) Identification First Name Middle Initial Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone Number For example 902-555-5555 Email Address Do you prefer to be contacted via mail or email? - Select -MailEmail × Information message A copy will no longer be emailed. You will need to print a copy for your records.