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Merge pull request #467 from canada-ca/accessibility-template
Accessibility template
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--- | ||
altLangPage: https://conception.canada.ca/modeles-recommandes/accessibilite/accessibilite.html | ||
date: null | ||
dateModified: '2024-12-05' | ||
description: null | ||
title: Accessibility at [Institution name] | ||
section-title: "" | ||
breadcrumbs: [{ | ||
"link": "https://design.canada.ca/recommended-templates/accessibility/accessibility.html#", | ||
"title": "[Institution name]" | ||
} | ||
] | ||
--- | ||
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<p>Provide feedback to help us create an accessible and barrier-free Canada.</p> | ||
<ul> | ||
<li>Comment on our accessibility plan</li> | ||
<li>Describe accessibility barriers you have experienced with [Institution name]</li> | ||
</ul> | ||
<div><a class="btn btn-call-to-action" href="feedback-form.html">Provide feedback</a></div> | ||
<div class="container"> | ||
<div class="row"> | ||
<section class="gc-srvinfo"> | ||
<h2 class="wb-inv">Services and information</h2> | ||
<div class="wb-eqht row"> | ||
<div class="col-lg-4 col-md-6"> | ||
<h3><a href="plan.html">Accessibility plan</a></h3> | ||
<p>Policies, programs, practices, and services that help our organization contribute to the goal of an accessible and barrier-free Canada</p> | ||
</div> | ||
<div class="col-lg-4 col-md-6"> | ||
<h3><a href="progress-reports-landing.html">Progress reports</a></h3> | ||
<p>Results of our activities to improve how our organization contributes to the goal of an accessible and barrier-free Canada</p> | ||
</div> | ||
<div class="col-lg-4 col-md-6"> | ||
<h3><a href="feedback-process.html">Feedback process</a></h3> | ||
<p>Different ways to provide feedback, how to request alternate formats, what we do with your feedback and how to keep your feedback anonymous</p> | ||
</div> | ||
</div> | ||
</section> | ||
</div> | ||
</div> |
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<!DOCTYPE html> | ||
<html class="no-js" lang="en" dir="ltr"> | ||
<head> | ||
<meta charset="utf-8"> | ||
<!-- Web Experience Toolkit (WET) / Boîte à outils de l'expérience Web (BOEW) wet-boew.github.io/wet-boew/License-en.html / wet-boew.github.io/wet-boew/Licence-fr.html --> | ||
<title>[Institution name]’s accessibility feedback form - Canada.ca</title> | ||
<meta content="width=device-width, initial-scale=1" name="viewport"> | ||
<meta name="description" content="Provide feedback on [Institution name]’s accessibility plan, barriers you have experienced, or any matter related to accessibility." /> | ||
<meta name="author" content=" "/> | ||
<meta name="dcterms.title" content="[Institution name]’s accessibility feedback form"/> | ||
<meta name="dcterms.description" content="Provide feedback on [Institution name]’s accessibility plan, barriers you have experienced, or any matter related to accessibility."/> | ||
<meta name="dcterms.creator" content=" "/> | ||
<meta name="dcterms.language" content="eng"/> | ||
<meta name="dcterms.subject" content=""/> | ||
<meta name="dcterms.issued" content=""/> | ||
<meta name="dcterms.modified" content="2022-11-29"/> | ||
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||
<link href="https://wet-boew.github.io/themes-dist/GCWeb/GCWeb/assets/favicon.ico" rel="icon" type="image/x-icon" /> | ||
<link rel="stylesheet" href="https://wet-boew.github.io/themes-dist/GCWeb/GCWeb/css/theme.min.css" /> | ||
<noscript><link rel="stylesheet" href="https://wet-boew.github.io/themes-dist/GCWeb/wet-boew/css/noscript.min.css" /></noscript><link rel="stylesheet" href="https://design.canada.ca/css/split-h1.css" /><link rel="stylesheet" href="https://design.canada.ca/css/custom.css" /><link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.15.4/css/all.css" /> | ||
</head> | ||
<body class="cnt-wdth-lmtd" vocab="http://schema.org/" typeof="WebPage"><nav> | ||
<ul id="wb-tphp"> | ||
<li class="wb-slc"><a class="wb-sl" href="#wb-cont">Skip to main content</a></li> | ||
<li class="wb-slc visible-sm visible-md visible-lg"><a class="wb-sl" href="#wb-info">Skip to About this site</a></li></ul> | ||
</nav> | ||
|
||
<header> | ||
<div id="wb-bnr" class="container"> | ||
<div class="row"> | ||
|
||
<section id="wb-lng" class="col-xs-3 col-sm-12 pull-right text-right"> | ||
<h2 class="wb-inv">Language selection</h2> | ||
<ul class="list-inline mrgn-bttm-0"> | ||
<li> | ||
<a lang="fr" hreflang="fr" href="https://conception.canada.ca/accessibilite/formulaire-retroaction.html"> | ||
<span class="hidden-xs" translate="no">Français</span> | ||
<abbr title="Français" translate="no" class="visible-xs h3 mrgn-tp-sm mrgn-bttm-0 text-uppercase">fr</abbr> | ||
</a> | ||
</li> | ||
</ul> | ||
</section> | ||
|
||
|
||
<div class="brand col-xs-9 col-sm-5 col-md-4" property="publisher" typeof="GovernmentOrganization"> | ||
<a href="#" property="url"> | ||
<img src="https://wet-boew.github.io/themes-dist/GCWeb/GCWeb/assets/sig-blk-en.svg" alt="Government of Canada" property="logo" /><span class="wb-inv"> / <span lang="fr">Gouvernement du Canada</span></span> | ||
</a> | ||
<meta property="name" content="Government of Canada"> | ||
<meta property="areaServed" typeof="Country" content="Canada" /> | ||
<link property="logo" href="https://wet-boew.github.io/themes-dist/GCWeb/GCWeb/assets/wmms-blk.svg" /> | ||
</div> | ||
|
||
|
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</div> | ||
</div> | ||
|
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<hr> | ||
<div class="container"> | ||
<div class="row"></div> | ||
</div> | ||
|
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|
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|
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</header> | ||
|
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<main class="container" property="mainContentOfPage" resource="#wb-main" typeof="WebPageElement"> | ||
<h1 property="name" id="wb-cont" dir="ltr">Accessibility feedback form</h1> | ||
<div class="row mrgn-tp-lg"> | ||
<div class="col-md-8"> | ||
<p>Provide feedback on [Institution name]’s accessibility plan, barriers you have experienced, or any matter related to accessibility.</p> | ||
<p>You can consult the <a href="feedback-process.html">Accessibility feedback process</a> for other ways to provide feedback and how we use your feedback.</p> | ||
<details class="mrgn-tp-lg"> | ||
<summary>Privacy disclaimer</summary> | ||
<div class="row mrgn-tp-lg"> | ||
<div class="col-md-12"> | ||
<p>[Include your institution’s privacy disclaimer.]</p> | ||
<h2>[Privacy disclaimer sample]</h2> | ||
<p>The collection of personal information is authorized by section 7(1)(a) and Section 70 of the <em>Accessible | ||
Canada Act</em>. This personal information is collected by the [Accessibility office or coordinator] to comply with the <em>Accessible Canada Act</em> by creating a mechanism to collect feedback and be able to respond back to the individual | ||
and acknowledge that their feedback has been collected and how it was handled.</p> | ||
<p>Collection and use of this personal information is in accordance | ||
with the <em>Privacy Act</em>. The mechanism is used to collect feedback | ||
internally and externally on our Accessibility Plan, | ||
future progress reports, as well as accessibility and barriers to accessibility within the work carried out in each | ||
department.</p> | ||
<p>The personal information collected is described in Personal Information Bank PSU 938 – | ||
Outreach Activities and will be retained for 7 years. Under the <em>Privacy Act</em> you have the right of access to, and correction of, your personal | ||
information. To exercise either of these rights, contact [Institution name]’s ATIP Coordinator. If | ||
you are not satisfied with Canadian Heritage’s response to your privacy concern, you may wish | ||
to Contact the Office of the Privacy Commissioner of Canada.</p> | ||
<h2 class="h3">Contact information</h2> | ||
<ul class="mrgn-tp-lg"> | ||
<li>[Institution name]’s ATIP Coordinator</li> | ||
<li><a href="https://www.priv.gc.ca/en/contact-the-opc/">Contact the Office of the Privacy Commissioner of Canada</a></li> | ||
</ul> | ||
<h2 class="h3">References</h2> | ||
<ul class="mrgn-tp-lg"> | ||
<li><a href="https://www.laws-lois.justice.gc.ca/eng/acts/A-0.6/page-1.html">Accessible Canada Act</a> | ||
<ul> | ||
<li><a href="https://www.laws-lois.justice.gc.ca/eng/acts/A-0.6/page-1.html#h-1153444">section 7(1)(a)</a></li> | ||
<li><a href="https://www.laws-lois.justice.gc.ca/eng/acts/A-0.6/page-5.html#h-1154040">Section 70</a></li> | ||
</ul> | ||
</li> | ||
<li><a href="https://laws-lois.justice.gc.ca/ENG/ACTS/P-21/index.html">Privacy Act</a></li> | ||
<li><a href="https://www.canada.ca/en/treasury-board-secretariat/services/access-information-privacy/access-information/information-about-programs-information-holdings/standard-personal-information-banks.html#psu938">Personal Information Bank PSU 938 – Outreach Activities</a></li> | ||
</ul> | ||
</div> | ||
</div> | ||
</details> | ||
</div> | ||
</div> | ||
<div class="row mrgn-tp-lg"> | ||
<div class="col-md-8"> | ||
<div class="wb-frmvld"> | ||
<form id="accessibility_feedback"> | ||
<div class="wb-fieldflow gc-font-2019" data-wb-fieldflow="{"noForm": true, "renderas":"radio", "gcChckbxrdio":true}"> | ||
<p>1. What do you want to provide feedback on?</p> | ||
<ul> | ||
<li data-wb-fieldflow="{"action": "query", "name": "feedback_type", "value": "feedback_type1"}">Accessibility barrier</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "feedback_type", "value": "feedback_type2"}">[Institution name]'s accessibility plan</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "feedback_type", "value": "feedback_type3"}">[Institution name]'s progress report</li> | ||
<li data-wb-fieldflow="[ | ||
{"action": "toggle", "toggle": "#feedback_type_other", "live":true }, | ||
{"action": "query", "name": "feedback_type", "value": "feedback_type4" } | ||
]">Other item</li> | ||
</ul> | ||
</div> | ||
<div id="feedback_type_other" class="hidden"> | ||
<div class="form-group"> | ||
<label for="feedback_type3_desc"><span class="field-name gc-font-2019">Describe the item you want to provide feedback on</span></label> | ||
<input class="form-control full-width input-lg" id="feedback_type3_desc" name="feedback_type3_desc" type="text" /> | ||
</div> | ||
</div> | ||
<div class="wb-fieldflow gc-font-2019" data-wb-fieldflow="{"noForm": true, "noreqlabel": true, "renderas":"checkbox", "gcChckbxrdio":true}"> | ||
<p>2. Select all the areas that are relevant to your comments</p> | ||
<ul> | ||
<li data-wb-fieldflow="{"action": "query", "name": "areas", "value": "areas4"}">Physical environment (door knob, ramp, elevator, etc.)</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "areas", "value": "areas5"}">Employment (recruitment processes, etc.)</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "areas", "value": "areas6"}">Technology (websites, software applications, etc.)</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "areas", "value": "areas7"}">Attitude (biases, micro aggressions, related to my mental health, etc.)</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "areas", "value": "areas8"}">Information and communication (forms, plain language, bilingualism, etc.)</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "areas", "value": "areas9"}">Systemic exclusion (events, policies, procedures, etc.)</li> | ||
<li data-wb-fieldflow="{"action": "query", "name": "areas", "value": "areas10"}">Procurement (bidding for contracts, etc.)</li> | ||
<li data-wb-fieldflow="[ | ||
{"action": "toggle", "toggle": "#area_other", "live": true}, | ||
{"action": "query", "name": "areas", "value": "areas11"} | ||
]">Other area</li> | ||
</ul> | ||
</div> | ||
<div id="area_other" class="hidden"> | ||
<div class="form-group"> | ||
<label for="areas_desc"><span class="field-name gc-font-2019">Describe the area you want to provide feedback on</span></label> | ||
<input class="form-control full-width input-lg" id="areas_desc" name="areas_desc" type="text" /> | ||
</div> | ||
</div> | ||
<div class="form-group mrgn-tp-lg"> | ||
<label for="description" class="required"><span class="field-name gc-font-2019">3. Describe the issue and provide comments. <strong class="required">(required)</strong></span></label> | ||
<p>Do not include information that could identify a person.</p> | ||
<textarea class="form-control required full-width" rows="10" id="description"></textarea> | ||
</div> | ||
<div class="mrgn-tp-lg"> | ||
<div class="wb-fieldflow gc-font-2019" data-wb-fieldflow="{"noForm": true, "renderas":"radio", "gcChckbxrdio":true}"> | ||
<p>4. Do you want us to contact you about your feedback? </p> | ||
<ul> | ||
<li data-wb-fieldflow="{"action": "query", "name": "feedback_type", "value": "feedback_type1"}">No</li> | ||
<li data-wb-fieldflow="[ | ||
{"action": "toggle", "toggle": "#email_request_other", "live":true }, | ||
{"action": "query", "name": "feedback_type", "value": "feedback_type3" } | ||
]">Yes, I’m comfortable providing my email address for contact purposes only.</li> | ||
</ul> | ||
</div> | ||
<div id="email_request_other" class="hidden"> | ||
<div class="form-group"> | ||
<label for="email1"><span class="field-name gc-font-2019">Email address</span> ([email protected])</label> | ||
<p>Your email address will only be used to contact you. It will not be shared.</p> | ||
<div class="row"> | ||
<div class="col-md-8"> | ||
<input class="form-control input-lg full-width" id="email1" name="email1" type="email" autocomplete="email" /> | ||
</div> | ||
</div> | ||
<div class="clearfix"></div> | ||
</div> | ||
</div> | ||
</div> | ||
</form> | ||
</div> | ||
<div class="mrgn-tp-xl"> | ||
<ul class="list-inline"> | ||
<li> | ||
<input class="btn btn-primary btn-lg mrgn-bttm-md" type="submit" value="Submit feedback" /> | ||
</li> | ||
<li><a href="afeedback-04-01-en.html" type="button" class="btn btn-link btn-lg">Cancel</a></li> | ||
</ul> | ||
</div> | ||
</div> | ||
</div> | ||
<div class="clearfix"></div> | ||
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<section class="pagedetails"> | ||
<h2 class="wb-inv">Page details</h2><dl id="wb-dtmd"> | ||
<dt>Date modified:</dt> | ||
<dd><time property="dateModified">2022-11-29</time></dd> | ||
</dl> | ||
</section> | ||
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</main> | ||
<footer id="wb-info"> | ||
<h2 class="wb-inv">About this site</h2> | ||
<div class="brand"> | ||
<div class="container d-flex align-items-center"> | ||
<nav> | ||
<h3 class="wb-inv"></h3> | ||
<h4><span class="wb-inv">Transparency</span></h4> | ||
<ul><li><a href="https://www.canada.ca/en/transparency/terms.html">Terms and conditions</a></li> | ||
<li><a href="https://www.canada.ca/en/transparency/privacy.html">Privacy</a></li></ul> | ||
</nav> | ||
<div class="wtrmrk align-self-end"> | ||
<img src="https://wet-boew.github.io/themes-dist/GCWeb/GCWeb/assets/wmms-blk.svg" alt="Symbol of the Government of Canada" /> | ||
</div> | ||
</div> | ||
</div> | ||
</footer> | ||
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<script src="https://ajax.googleapis.com/ajax/libs/jquery/2.2.4/jquery.min.js" integrity="sha384-rY/jv8mMhqDabXSo+UCggqKtdmBfd3qC2/KvyTDNQ6PcUJXaxK1tMepoQda4g5vB" crossorigin="anonymous"></script> | ||
<script src="https://wet-boew.github.io/themes-dist/GCWeb/wet-boew/js/wet-boew.min.js"></script> | ||
<script src="https://wet-boew.github.io/themes-dist/GCWeb/GCWeb/js/theme.min.js"></script> | ||
</body> | ||
</html> |
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