Where addition(s), change(s) or removal(s) are made with respect to the User Coordinator, EMPI Lead, Technical Lead or Privacy Officer roles, the User Authority must sign to authorize the change. User Authority Details Name Email Address Telephone Signature Date Please complete this form, have it signed and submit it electronically to servicedesk@ccim.on.ca or fax to 416-314-1585 For any questions, contact the CCIM Service Desk at 1-866-363-2246 or via email at servicedesk@ccim.on.ca
Where addition(s), change(s) or removal(s) are made with respect to the User Coordinator, EMPI Lead, Technical Lead or Privacy Officer roles, the User Authority must sign to authorize the change. User Authority Details Name Email Address Telephone Signature Date Please complete this form, have it signed and submit it electronically to servicedesk@ccim.on.ca or fax to 416-314-1585 For any questions, contact the CCIM Service Desk at 1-866-363-2246 or via email at servicedesk@ccim.on.ca
BSRForm_AODA_IAR.docx