Form 5: Application

1 2 3 4
Page 1 of 4

Page 1 of 4: Background

Who should use this form?

An applicant.


To start a dispute proceeding before the Agency.

When should you file this form?

You are expected to have tried to resolve the dispute with the respondent yourself before filing an application with the Agency. In some instances, the Agency will not consider your application until it is satisfied that you have taken this step.

You should file your application as soon as possible after failing to resolve your dispute with the respondent to reduce the risk that relevant documents are not kept by all parties and to ensure that all options for relief are available to you.

What happens next?

You will be informed if your application is complete and, if so, the start date of the proceeding.

If your application is incomplete, you will be notified in writing and you must provide the missing information within 20 business days after the date of the notice. If you fail to provide the missing information within the time limit, your file will be closed.

Refer to section 18 of the Dispute Adjudication Rules for more information.

Personal information collection statement
  • Personal Information Collection Statement - Adjudication

    All personal information created, held or collected by the Canadian Transportation Agency (Agency) is governed by the Privacy Act. This means that you will be informed of the purpose for which your personal information is being collected and how to exercise your right of access to that information. You will be asked for your consent where appropriate.

    The information provided in this form is collected to allow us to process your application. The personal information is collected pursuant to the Canada Transportation Act. The information is included in the following personal information banks:


    As per the open court principle and pursuant to subsection 7(2) of the Canadian Transportation Agency Rules (Dispute Proceedings and Certain Rules Applicable to all Proceedings), SOR/2014 -104 [Dispute Adjudication Rules], all information filed with the Agency as part of an adjudicated dispute becomes part of the public record and may be made available for public viewing unless a request for confidentiality pursuant to section 31 of the Dispute Adjudication Rules has been made to and accepted by the Agency. With the exception of confidential information, the Agency posts applications and decisions issued on its website, and is required to make all information filed during dispute adjudication available on the public record. For further information, please see our Privacy Notice.

    The information you submit on the online form will be encrypted (a secure means of transmission) when it is sent electronically to the Agency. For reference purposes, the information you submit is temporarily retained in an encrypted folder on a secure server hosted on our internal network for 30 days following the issuance of a decision or upon withdrawal of your application and Agency acceptance. The information is stored in the Agency Corporate Repository and Case Management System where it will be retained for 10 years upon file closure, and then destroyed.

    If, after reading this statement, you prefer not to submit your application online, you may use one of the following methods:

    By courier or in person: Canadian Transportation Agency, 15 Eddy Street, Gatineau, Quebec, K1A 0N9

    By teletypewriter: 1 -800 -669- 5575

    If you do not provide all of the required information on this form, the Agency will not be able to begin processing your application.

    Privacy Inquiry

    Any questions, comments, concerns or complaints regarding the administration of the Privacy Act and privacy policies may be directed to the departmental Privacy Coordinator by e-mail to, by calling 819-953-5869 or writing to: Access to Information and Privacy Coordinator, 15 Eddy Street, Gatineau, Quebec, K1A 0N9.

    If you are not satisfied with our response to your privacy concern, you may wish to contact the Office of the Privacy Commissioner of Canada by e-mail at or by telephone at 1-800-282-1376.