{"id":3816,"date":"2024-09-19T14:21:14","date_gmt":"2024-09-19T14:21:14","guid":{"rendered":"https:\/\/communityaid.ca\/?page_id=3816"},"modified":"2024-09-19T23:02:53","modified_gmt":"2024-09-19T23:02:53","slug":"formulaire-de-demande-dacces-aux-renseignements-personnels","status":"publish","type":"page","link":"https:\/\/communityaid.ca\/fr\/formulaire-de-demande-dacces-aux-renseignements-personnels\/","title":{"rendered":"Formulaire de demande d&rsquo;acc\u00e8s aux renseignements personnels"},"content":{"rendered":"<p>Veuillez remplir ce formulaire pour recevoir un rapport sur les renseignements personnels vous concernant recueillis par l\u2019Aide Communautaire de Lennoxville \u00e9t\u00e9 des environs. Un rapport sera envoy\u00e9 dans un d\u00e9lai de 15 jours ouvrables. Vous pouvez \u00e9galement utiliser ce formulaire pour mettre \u00e0 jour ou faire supprimer toute donn\u00e9e vous concernant.<\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_8' ><div id='gf_8' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_8' id='gform_8'  action='\/fr\/wp-json\/wp\/v2\/pages\/3816#gf_8' data-formid='8' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_8_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_1\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_1'>\n                            \n                            <span id='input_8_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_8_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_8_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_3\" ><label class='gfield_label gform-field-label' for='input_8_3'>Quelle adresse courriel avez-vous utilis\u00e9e pour acc\u00e9der \u00e0 nos services ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_8_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_8_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_4\" ><legend class='gfield_label gform-field-label' >Vous soumettez cette demande en tant que :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_4'>\n\t\t\t<div class='gchoice gchoice_8_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='La personne mentionn\u00e9e ci-dessus.'  id='choice_8_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_4_0' id='label_8_4_0' class='gform-field-label gform-field-label--type-inline'>La personne mentionn\u00e9e ci-dessus.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Un tiers, avec l\u2019autorisation de la personne concern\u00e9e.'  id='choice_8_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_4_1' id='label_8_4_1' class='gform-field-label gform-field-label--type-inline'>Un tiers, avec l\u2019autorisation de la personne concern\u00e9e.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_8_5\" ><legend class='gfield_label gform-field-label' >Je soumets une demande pour :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_5'>\n\t\t\t<div class='gchoice gchoice_8_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Recevoir un rapport sur les renseignements personnels recueillis.'  id='choice_8_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_5_0' id='label_8_5_0' class='gform-field-label gform-field-label--type-inline'>Recevoir un rapport sur les renseignements personnels recueillis.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Faire modifier mes donn\u00e9es personnelles.'  id='choice_8_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_5_1' id='label_8_5_1' class='gform-field-label gform-field-label--type-inline'>Faire modifier mes donn\u00e9es personnelles.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Faire supprimer mes donn\u00e9es personnelles.'  id='choice_8_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_5_2' id='label_8_5_2' class='gform-field-label gform-field-label--type-inline'>Faire supprimer mes donn\u00e9es personnelles.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='gf_other_choice'  id='choice_8_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_5_3' id='label_8_5_3' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_8_5_other' class='gchoice_other_control' name='input_5_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' 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Un rapport sera envoy\u00e9 dans un d\u00e9lai de 15 jours ouvrables. Vous pouvez \u00e9galement utiliser ce formulaire pour mettre \u00e0 jour ou faire supprimer toute donn\u00e9e vous concernant.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3816","page","type-page","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/pages\/3816","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/comments?post=3816"}],"version-history":[{"count":1,"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/pages\/3816\/revisions"}],"predecessor-version":[{"id":3817,"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/pages\/3816\/revisions\/3817"}],"wp:attachment":[{"href":"https:\/\/communityaid.ca\/fr\/wp-json\/wp\/v2\/media?parent=3816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}