Risk Management Case Form

Identification of Potential Security Risk in IRB Proceedings

The privacy and the protection of your personal information is important to us. The information that you provide will be used for the sole purpose of ensuring the safety and security of Immigration and Refugee Board (IRB) personnel, premises and of all persons on these premises. We may contact you for further information if required. Incomplete forms may impact the IRB's ability to respond to your concerns.

Request Details

Date

Urgent

Part A - Contact Information

Your first name (required)

Your last name (required)

Phone number

Position

Name of your Coordinating Member or Manager (required)

Part B - Hearing Information

Division

Location (city, province)

Incident date

Hearing date

Hearing format

Case status

Part C - Personal Details of the IRB Client

Name

IRB File Number

Alias

Unique Client Identifier (UCI)

Detained

Place of detention (specify)

If released (specify date of release)

Legal representation

Nature of Concern (self-harm, threats, behaviour, graphic content)

Please describe the nature of your concern, including the potential security risk and what occurred. (required)

Additional / Contextual Information

Please provide any additional or contextual information that may assist us in assessing the risk.

Preview Report (PDF)

Site-Secure

Risk Management Case Form

Identification of Potential Security Risk in IRB Proceedings