Purpose of Collection: The information collected in this form will be used for the purpose of contacting you with feedback on your inquiry
and to improve our services.
Disclosure: This information will not be released to any third party except as required by law.
Privacy Clause
I hereby certify that the statements are true, accurate and complete to the best of my knowledge and belief. I understand that it is my responsibility to inform ESA of any modifications, additions or deletions to the information above, as necessary.
BY SUBMITTING PERSONAL INFORMATION TO THE ELECTRICAL SAFETY AUTHORITY, OR ITS AGENTS AND SERVICE PROVIDERS, YOU AGREE THAT ESA MAY COLLECT, USE AND DISCLOSE SUCH PERSONAL INFORMATION IN ACCORDANCE WITH ITS PRIVACY POLICY, APPLICABLE LAWS OR PURSUANT TO OUR ADMINISTRATIVE AGREEMENT WITH THE PROVINCE OF ONTARIO.
If you provide us with the personal information on behalf of another individual, you represent that you have all necessary authority and/or have obtained all necessary consents from such individual to enable us to collect, use and disclose such personal information for the purposes set forth in our Privacy Policy.
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