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DPA Subject Access Request


SECTION 1:

Contact Information

SECTION 2:

Are you the data subject?

Please tick the appropriate box and read the instructions which follow it. *
  1. To ensure we are releasing data to the right person we require you to provide us with proof of your identity and of your address. Please supply us with a scanned image (do not send the originals) of one of both of the following:
  2. Proof of Identity: Passport, photo driving licence, national identity card, birth certificate.
  3. Proof of Address: Utility bill, bank statement, credit card statement (no more than 3 months old); current driving licence; current TV licence; local authority tax bill, HMRC tax document (no more than 1 year old).

    Note:

    We may request additional information from you to help confirm your identity and your right to access, and to provide you with the personal data we hold about you. If you have changed your name, please provide the relevant documents evidencing the change.

    If we are not satisfied you are who you claim to be, we reserve the right to refuse to grant your request.

    If you do not have any of these forms of identification available, please ask for advice on other acceptable forms of identification.
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SECTION 3:

Details of the data subject

Please complete this section of the form with the name and contact details of the Data Subject whom you are acting on behalf of.

Where you are acting on behalf of the data subject, we also require proof of the data subject’s identity before we can respond to the request.

To help us establish the data subject’s identity, you must provide identification that clearly shows the data subject’s name, date of birth, and current address. We accept a scanned image of one of the following as proof of identity: Proof of Identity Passport, photo driving licence, Veterans identity card, birth certificate. Proof of Address Utility bill, bank statement, credit card statement (no more than 3 months old); current driving licence; current TV licence; local authority tax bill, HMRC tax document (no more than 1 year old).

We accept a copy of the following as proof of your legal authority to act on the data subject’s behalf:  

  • A written consent signed by the data subject;
  • A certified copy of a Power of Attorney or evidence of parental responsibility.

We may request additional information from you to help confirm the data subject’s identity. We reserve the right to refuse to act on your request if we are unable to identify the data subject or verify your legal authority to act on the data subject’s behalf.

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I confirm that I am authorised to act on behalf of the data subject. I understand that RMPA must confirm my identity and my legal authority to act on the data subject’s behalf, and may need to request additional verifying information.

Please confirm below that you agree.

Yes, I agree 

SECTION 4:

What information are you seeking?

  1. Please describe the information you are seeking. Please provide any relevant details you think will help us to identify the information you require.
  2. Please provide specific details (along with any relevant dates) of the information being requested and any additional information that may help us to locate your personal data and confirm your identity.
  3. We will contact you for additional information if the scope of your request is unclear or does not provide sufficient information for us to conduct a search (for example, if you request “all information about me”).  We will begin processing your access request as soon as we have verified your identity and have all of the information we need to locate your personal data.

SECTION 5

Information about the collection and processing of data

CheckboxIf you want information about any of the following, please tick the boxes:

SECTION 6:

Declaration

Information about the collection and processing of data
If you would like to receive a copy of the personal data you are requesting access to please indicate below whether you would like a hard copy or electronic copy

I confirm that the information provided on this form is correct and that I am the person whose name appears on this form and warrant that I will fully indemnify The RMPA for all losses and expenses incurred if I am not.

I understand that;

(1) The RMPA must confirm proof of identity and may need to contact me again for further information;

(2) my request will not be valid until RMPA receives all of the required information to process the request; and

(3) I am entitled to one free copy of the personal data I have requested, and acknowledge that for any further copies I request The RMPA may charge a reasonable fee based on administrative costs.

Please consent and date below to confirm you agree

Yes, I agree

If after you have received the information you have requested you believe that:

  • the information is inaccurate or out of date; or we should no longer be holding that information; or
  • we are using your information for a purpose of which you were unaware;
  • we may have passed inaccurate information about you to someone else;

Then you should notify the Data Controller at once.

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Charity number: 261630

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