Accessibility Inquiries and Feedback

What accessibility barrier did you face?

What type of accessibility barrier did you face? * Required

Please describe the situation, issue or barrier in as much detail as possible. * Required

What document would you like to receive? * Required

What alternate format would you like to receive? * Required

Do you identify as a person with a disability? * Required Yes
No, but a person close to me identifies as a person with a disability
No
I prefer not to say

Which of the following terms best describes you: * Required Member of the public
Parliamentarian
Parliamentary staff member
Library of Parliament staff member
I prefer not to say

How would you like us to contact you? * Required Email
Text
Telephone

Please complete the following:

Name * Required

Email * Required

Telephone * Required

Address * Required

What is the best time to contact you? * Required

Form Submission Response

Your feedback has been submitted. You will find the details of your feedback below.

Type of request:

Source:

Type of barrier:

Details:

Comments:

Document(s):

Alternate Format:

Question:

Do you identify as a person with a disability?

Which of the following terms best describes you:

Wishes to be contacted:

Name:

Email:

Telephone:

Address:

Preferred method of contact:

Preferred time of contact:

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