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Individual Rights Request

1Your Details 2Enquiry Details

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    Your Details

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    If you wish to apply for more than one right please complete an additional Individual Rights Request form.

    SECTION 2 - Proof of Identity


    To help establish your identity, your application must be accompanied by copies of AT LEAST TWO different official documents which, between them, provide sufficient information to prove your FULL NAME, DATE OF BIRTH, CURRENT ADDRESS and SIGNATURE. For example, a combination of driving licence, medical card, birth / adoption certificate, passport, utilities bill and any other official documents which show the required details. Please scan and upload those documents below. For enquiries relating to Social Services records, photo ID will also be required. For CCTV footage of your vehicle please provide a copy of your V5C log book

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      SECTION 3


      Adult Social Services Children's Social Services Housing Planning Environmental Health Employment Library Leisure Services Education Council Tax Benefits Student Grants Other

      SECTION 4 - Declaration


      I request that you provide me with details of the personal data about me, which you process for the purposes I have indicated above.

      I also confirm that I am the data subject and not someone acting on his/her behalf.

      SECTION 5A


      An application being made by someone acting on behalf of the data subject

      I confirm that I am acting on behalf of the data subject named below and I enclose herewith proof of my authority to act on behalf of the data subject (for example, a letter signed by the data subject authorising me, Power of Attorney, etc.)

      Proof of identity if agent to help establish your identity as the authorised agent

      To help establish your identity, your application must be accompanied by copies of AT LEAST TWO different official documents which, between them, provide sufficient information to prove your FULL NAME, DATE OF BIRTH, CURRENT ADDRESS and SIGNATURE. For example, a combination of driving licence, medical card, birth / adoption certificate, passport, utilities bill and any other official documents which show the required details. Please scan and upload those documents below. For enquiries relating to Social Services records, photo ID will also be required.

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