Sample document

Sample privacy impact assessment: an AI chat agent prepares quote requests

Example Brokerage is adding an AI agent to its site that answers visitors and collects their past claims. The provider is in Québec, but the language model runs in the United States.

The sections follow the Commission d’accès à l’information template. The findings and the sections of the law they cite come from hand-written rules; the purpose, the data flows and the conclusion were drafted by the tool from the organisation’s answers. The organisation, its people and its answers are fictional.

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Privacy impact assessment

AI chat agent on the website

Example Brokerage

Person in charge of the protection of personal information
Olivier Example, Chief Operating Officer
Project
AI chat agent on the website
Project type
Adoption of an artificial intelligence tool
Date
September 25, 2026
Version
1

In-depth

Level of review

4

Findings

1 gap, 3 to confirm

0

Priority risks

high severity and likelihood

1

Vendors outside Québec

5

Measures

1Purpose and scope

Example Brokerage, a property and casualty insurer, is adding an artificial intelligence chat agent to its website. The agent answers visitors' questions about home and car insurance and collects the information a quote request needs: name, contact details, address, vehicle and past claims. Example Brokerage is undertaking the project for two purposes: to answer visitors' questions outside business hours, and to prepare quote requests for its brokers. The information is not intended for any other purpose.

The agent is supplied by a Québec company and relies on a language model from an American vendor to draft its answers. The agent does not set premiums and does not turn clients away. A broker takes over every request and makes every decision.

This assessment covers the personal information handled through the chat agent. That includes collection from visitors, hosting by the chat agent provider, processing by the language model vendor, access by Example Brokerage staff, and retention of the conversations. The project is expected to involve between 100 and 10,000 persons. The decisions brokers make after taking over a request are not made by the agent and are not the subject of this assessment.

Under the fourth paragraph of section 3.3 of the LPRPSP, the assessment is proportionate to the sensitivity of the information, the purposes of its use, its quantity, its distribution and the medium on which it is stored. On those factors, this assessment is carried out at a high level of detail.

  • LPRPSP: Act respecting the protection of personal information in the private sector (CQLR, c. P-39.1).

2Personal information concerned

InformationNaturePersons concerned
Name, email, phone number and addressContact detailsClients
Vehicle and past claimsFinancialClients
Content of the conversationsOtherClients
Factor (s. 3.3)Finding
Sensitivitymedium
PurposeAnswer visitors’ questions outside business hours; Prepare quote requests for the brokers
Quantity100 to 10,000 persons
DistributionAt least one processing outside Québec
MediumCloud

3Data flows

Personal information is collected directly from clients who visit the Example Brokerage website and use the chat agent. Through the conversation, the agent gathers their name, email address, phone number and home address, along with details of their vehicle and their past claims. The content of the conversations is itself retained as personal information. The persons concerned are not currently informed of how this information is handled.

The conversations are hosted in the cloud by the chat agent provider, a company located in Québec, which keeps the conversations under a written agreement with Example Brokerage. To draft the agent's answers, the content of the conversations is sent to a language model vendor located in the United States. Whether a written agreement exists with that vendor remains to be confirmed. It also remains to be confirmed whether the vendor keeps the conversations and, if so, for how long.

Within Example Brokerage, access to the information is limited to the staff who need it. The information comes back to the organisation as quote requests prepared for the brokers, who take over each request and make every decision. Visitors receive the answers drafted by the agent. No retention period has been defined for the conversations and the information collected, and this remains to be confirmed. It also remains to be confirmed whether the information collected can be communicated to the persons concerned in a structured format.

Example Brokerage

IN QUÉBEC

Chat agent provider

Hosting of the agent and the conversations

Québec · Written agreement: Yes

OUTSIDE QUÉBEC

Language model vendor

Drafting of the agent’s answers

United States · Written agreement: Does not know

ProcessingVendorLocationIn QuébecWritten agreement
Hosting of the agent and the conversationsChat agent providerQuébecYesYes
Drafting of the agent’s answersLanguage model vendorUnited StatesNoDoes not know

4Findings and risks

Findings

To confirmLPRPSP, ss. 17 and 18.3

No written agreement with Language model vendor, outside Québec

Section 17 requires that a communication outside Québec be the subject of a written agreement that takes the results of the assessment into account. Section 18.3 requires that the mandate or contract be in writing and specify the protection measures the vendor must take.

Answer: does not know

To confirmLPRPSP, ss. 23 and 3.2

No retention period defined

Section 23 requires destroying or anonymising information once the purposes of its collection are achieved, and section 3.2 requires policies governing its retention and destruction.

Answer: does not know

GapLPRPSP, s. 8

Persons concerned not informed

Section 8 requires informing the person concerned, when the information is collected, of the purposes, the means and their rights, and where applicable of the third parties it is communicated to and of the possibility that it be communicated outside Québec.

Answer: no

To confirmLPRPSP, s. 3.3

No communication in a structured format

Section 3.3 requires that the project allow computerised information collected from the person concerned to be communicated to them in a structured, commonly used technological format.

Answer: does not know

Risks

Severity ↑

High
Medium
2
13
Low
LowMediumHigh

Likelihood →

  1. 1Information processed outside Québec without adequate protection
  2. 2Unauthorised access to the information
  3. 3Retention longer than necessary
#RiskSeverityLikelihoodSections
1Information processed outside Québec without adequate protectionmediummediumLPRPSP, s. 17
2Unauthorised access to the informationmediumlowLPRPSP, ss. 20 and 10
3Retention longer than necessarymediummediumLPRPSP, s. 23

5Communication outside Québec

Language model vendor · United States

Factor (s. 17)Finding
1. Sensitivity of the informationmedium
2. Purposes of its useDrafting of the agent’s answers
3. Protection measures, including contractual onesWritten agreement: Does not know
4. Legal framework of the StateThe United States has no general federal privacy law. Protection varies by state and by sector, and government access regimes are broader than in Québec. These points describe the legal framework; they do not conclude that it is adequate.

The organisation’s conclusion (to complete): section 17 allows the communication if the assessment establishes that the information would receive adequate protection, and requires a written agreement.

6Measures adopted

The measures below follow from the characteristics of the project. For each one, the organisation states whether it is in place or planned, and who is responsible.

In placePlannedResponsible
Determine the purposes before collecting, and collect only the information necessary for them.LPRPSP, ss. 4 and 5
Take reasonable security measures given the sensitivity, purposes, quantity, distribution and medium of the information.LPRPSP, s. 10
Sign a written agreement with each vendor outside Québec that takes the results of this assessment into account.LPRPSP, s. 17
Inform the persons concerned, at collection, that their information may be communicated outside Québec.LPRPSP, s. 8
Set out the procedure for confidentiality incidents, and record each incident in the incident register.LPRPSP, ss. 3.5 and 3.8

7Conclusion

The assessment brought four findings to light. First, it has not been confirmed that a written agreement exists with the language model vendor, which processes the conversations outside Québec. Second, no retention period has been defined. Third, the persons concerned are not informed. Fourth, it is not known whether the information can be communicated in a structured format.

The main risks identified are the processing of information outside Québec without adequate protection, which is of medium severity and medium likelihood, and retention longer than necessary, also of medium severity and medium likelihood. A risk of unauthorised access to the information was also identified, of medium severity and low likelihood. The overall sensitivity of the information is assessed as medium. Several points remain to be confirmed, notably whether the American vendor keeps the conversations and for how long.

Example Brokerage adopts the five measures set out in this document to address these findings and risks.

This document was drafted from the organisation’s answers. It applies the cited provisions to those answers and does not constitute legal advice. The organisation adopts it under the responsibility of its person in charge of the protection of personal information.

Adoption

The organisation adopts this assessment and the measures it sets out.

Name: Olivier Example

Title: Chief Operating Officer

Date:

Signature:

Appendix: the organisation’s answers

QuestionAnswer
Project typeAdoption of an artificial intelligence tool
PurposesAnswer visitors’ questions outside business hours; Prepare quote requests for the brokers
Use for a new purposeNo
Quantity100 to 10,000 persons
MediumCloud
Retention period definedDoes not know
Access limited to staff who need itYes
Decision based exclusively on automated processingNo
Human review of the decisionYes
Identification, location or profiling technologyNo
Product offered to the public with privacy settingsNo
Collection from minors under 14No
Persons concerned informedNo
Communication in a structured format possibleDoes not know
Person in charge consulted from the startYes

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Sample PIA (Québec Law 25): an AI chat agent | PEICH