CCI Facilities Assessments and Planning Service Request Form

Due to temporary technical issues, submissions should be sent by email to: PCH.iccservices-cciservices.PCH@canada.ca

Please provide the following information in your request:

Coordinates

  • Salutation (Miss, Mrs., Ms., Mr., Dr.):
  • First Name: (required)
  • Last Name: (required)
  • Title/Position: (required)
  • Organization: (required)
  • Organization Type: (required)
    • Small Canadian public museums - budget less than $100,000
    • Medium-sized Canadian public museums - budget between $100,000 and $999,999
    • Large Canadian public museums - budget $1,000,000 or more
    • Government of Canada museums
    • Canada's National Museums and Library and Archives Canada
    • Canadian heritage and conservation associations
    • International heritage and conservation associations
    • Department of Canadian Heritage and Portfolio Agencies
    • Other Canadian federal government departments
    • Provincial or Territorial governments or agencies
    • Municipal governments or agencies
    • Educational/training programs in Canada — conservation
    • Educational/training programs in Canada — heritage related
    • Educational/training programs in Canada — other
    • Organizations — Aboriginal communities/societies in Canada
    • Organizations — ethno-cultural communities/societies in Canada
    • Organizations — religious communities/societies in Canada
    • Canadian private sector/general public
    • Foreign — heritage and conservation
    • Foreign — other
  • E-mail (i.e. name@example.com): (required)
  • Website (i.e. http://www.website.com):
  • Telephone Number, including area code (i.e. 123-456-7890): (required)
  • Fax, including area code (i.e. 123-456-7890):
  • Address: (required)
  • City: (required)
  • Province/State: (required)
  • Postal/Zip code: (required)
  • Country: (required)

Purpose

  • Nature of assessment:
    If you have a long-range development plan or a business plan that is relevant to this request, please attach it in the File Attachments section below. (required)
  • Describe the anticipated benefits and uses of the results of this assessment: (required)
  • Which areas do you want to focus on?(required)
    • Storage
    • Exhibition/Display
    • Security
    • Fire
    • Pests
    • Environment (temperature, humidity, pollutants)
    • Lighting
    • Facility upgrade/retrofit
    • Designation or review for grant application (MCP, INDEM, CCSF)
    • Capital project
    • Materials advice (e.g. display cases, building materials)
    • Emergency preparedness

Facility Details

  • Address of facility: (required)
  • Specify the number of buildings to be reviewed in the assessment: (required)
  • Describe the facility, including details about the nature of the collection and size (square metres): (required)
  • Does the facility have a heritage designation? (Yes or No) (required)
  • If yes, please specify: (required)

Key Request Dates

  • Preferred site visit date: (yyyy/mm/dd) (required)
  • Alternate site visit date: (yyyy/mm/dd) (required)
  • Report Deadline (if applicable): (yyyy/mm/dd)

Attachments

  • Attach supporting documents or images.


CCI undertakes general surveys and technical assessments of facilities to identify risks to objects and collections, and can assist in resolving technical issues.

PERSONAL INFORMATION COLLECTION STATEMENT

All personal information created, held or collected by the Canadian Conservation Institute is protected under the Privacy Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of access to that information. You will be asked for your consent where appropriate.

Read the full notice.

PUBLIC COMMUNICATION

The personal information you include in an inquiry may be used to prepare a reply. The personal information is collected pursuant to the provision of the Department of Canadian Heritage enabling statutes. Such information may be used for statistical, evaluation and reporting purposes. The information may be shared with programs and activities of the Department of Canadian Heritage should your inquiry pertain to a specific program or activity of the Department of Canadian Heritage. In such cases, the information is included in the personal information bank of the program or activity.

The transmission of this information is not secure so sensitive personal information, such as your Social Insurance Number, should not be included in your message.

If after reading this statement, you prefer not to submit your inquiry via the Internet, you may use one of the following methods:
By Telephone: 613-998-3721 (Toll-free: 1-866-998-3721 (Canada))

By Mail or in person at:

Canadian Conservation Institute
1030 Innes Road
Ottawa, Ontario K1B 4S7

Teletypewriter: 1-819-997-3123 (toll-free)

PRIVACY INQUIRY

Any questions, comments, concerns or complaints you may have regarding the administration of the Privacy Act and privacy policies regarding the Canadian Conservation Institute Website may be directed to our Access to Information and Privacy Coordinator at Canadian Heritage:

Jaye Jarvis
Director, Access to Information and Privacy Secretariat
25, Eddy Street, 3rd level, Gatineau, Quebéc K1A 0M5

Telephone: 819-997-6874
Fax: 819-953-9524
E-mail: Jaye.Jarvis@PCH.gc.ca

If you are not satisfied with our response to your privacy concern, you may wish to contact the Office of the Privacy Commissioner by email at info@priv.gc.ca or by telephone at 1-800-282-1376.

THIRD-PARTY INFORMATION LIABILITY DISCLAIMER

Some of the information on this Web page has been provided by external sources. The Government of Canada is not responsible for the accuracy, reliability or currency of the information supplied by external sources. Users wishing to rely upon this information should consult directly with the source of the information. Content provided by external sources is not subject to official languages, privacy and accessibility requirements.